| The Fairfield Dental Clinic | |
|
214 Main St Fairfield WA 99012 | |
| (509) 283-2261 | |
| Not Available |
| Full Name | The Fairfield Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 214 Main St, Fairfield, Washington |
| Authorized Official Name and Position | Joseph L Ostheller (DENTIST) |
| Authorized Official Contact | 5092832261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Fairfield Dental Clinic Po Box 305 Fairfield WA 99012-0305 Ph: (509) 283-2261 | The Fairfield Dental Clinic 214 Main St Fairfield WA 99012 Ph: (509) 283-2261 |
| NPI Number | 1023489465 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 10/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023489465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE 00008595 (Washington) | Primary |
Fairfield Dental Clinic, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 E Main, Fairfield, WA 99012 Phone: 509-283-2261 Fax: 509-283-2261 |