Dr Khealynn Fernelius Harris, DMD | |
202 Cullens St Nw, Yelm, WA 98597-9417 | |
(801) 857-8001 | |
Not Available |
Full Name | Dr Khealynn Fernelius Harris |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 202 Cullens St Nw, Yelm, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083090567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DE60586603 (Washington) | Primary |
Entity Name | Bay Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689814022 PECOS PAC ID: 5890699037 Enrollment ID: O20031120000512 |
Mailing Address | Practice Location Address |
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Dr Khealynn Fernelius Harris, DMD 202 Cullens St Nw, Yelm, WA 98597-9417 Ph: (801) 857-8001 | Dr Khealynn Fernelius Harris, DMD 202 Cullens St Nw, Yelm, WA 98597-9417 Ph: (801) 857-8001 |
Tyler Tebay, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 718 W Yelm Ave, Suite #3, Yelm, WA 98597 Phone: 360-458-5606 | |
Matthew Eldon Lesh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 202 1st St S, Yelm, WA 98597 Phone: 360-458-7645 Fax: 360-458-2745 | |
Dr. Mark Rakow, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 106 Plaza Dr. Ne, Bldg. A, Suite 1, Yelm, WA 98597 Phone: 360-458-1919 Fax: 360-458-1353 | |
Dr. Stephen Emery Smith, DMD Dentist Medicare: Medicare Enrolled Practice Location: 718 Yelm Ave W Ste 3, Yelm, WA 98597 Phone: 360-458-5606 Fax: 360-458-1948 | |
Caitlin Burelson, DMD Dentist Medicare: Medicare Enrolled Practice Location: 202 Cullens St Nw, Yelm, WA 98597 Phone: 360-400-4800 | |
Dr. Mackenzie Elizabeth Wood, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 718 W Yelm Ave Ste 3, Yelm, WA 98597 Phone: 360-458-5606 |