| Yelm Prairie Dental | |
|
202 First Street South, Yelm WA 98597 | |
| (360) 458-7645 | |
| (360) 458-2745 |
| Full Name | Yelm Prairie Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 202 First Street South,, Yelm, Washington |
| Authorized Official Name and Position | James Vincent Shuck (VP) |
| Authorized Official Contact | 3604587645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yelm Prairie Dental Po Box 1568 Yelm WA 98597-1568 Ph: (360) 458-7645 | Yelm Prairie Dental 202 First Street South, Yelm WA 98597 Ph: (360) 458-7645 |
| NPI Number | 1043591043 |
|---|---|
| Provider Enumeration Date | 09/02/2011 |
| Last Update Date | 09/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043591043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00006408 (Washington) | Primary |
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Sea Mar Community Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Cullens St Nw, Yelm, WA 98597 Phone: 360-359-4860 Fax: 360-359-4861 | |
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Yelm Prairie Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 First Street South, Yelm, WA 98597 Phone: 360-458-7645 Fax: 360-458-2745 | |
Lesh, Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 1st St S, Yelm, WA 98597 Phone: 360-458-7645 |