| Tulalip Tribes Dental Clinic | |
|
7520 Totem Beach Rd Tulalip WA 98271 | |
| (360) 716-4511 | |
| (360) 716-5789 |
| Full Name | Tulalip Tribes Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 7520 Totem Beach Rd, Tulalip, Washington |
| Authorized Official Name and Position | Christopher Kinslow (DENTAL DIRECTOR) |
| Authorized Official Contact | 3607164511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulalip Tribes Dental Clinic 6406 Marine Dr Ste A Tulalip WA 98271 Ph: (360) 716-5800 | Tulalip Tribes Dental Clinic 7520 Totem Beach Rd Tulalip WA 98271 Ph: (360) 716-4511 |
| NPI Number | 1447530399 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 11/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447530399 | NPI | - | NPPES |
| 2014972 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00010342 (Washington) | Primary |
| 122300000X | Dentist | DE00007477 (Washington) | Secondary |
| 122300000X | Dentist | DE60104988 (Washington) | Secondary |
Quil Ceda Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8825 34th Ave Ne Ste M, Tulalip, WA 98271 Phone: 360-659-1149 Fax: 360-716-3626 |