| Community Dental Center | |
|
1715 E Lincoln Ave Sunnyside WA 98944-2478 | |
| (509) 837-7178 | |
| Not Available |
| Full Name | Community Dental Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1715 E Lincoln Ave, Sunnyside, Washington |
| Authorized Official Name and Position | Shannon Fernandez (BILLING VP) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dental Center Po Box 190 Toppenish WA 98948-0190 Ph: (509) 865-6175 | Community Dental Center 1715 E Lincoln Ave Sunnyside WA 98944-2478 Ph: (509) 837-7178 |
| NPI Number | 1114344611 |
|---|---|
| Provider Enumeration Date | 03/21/2014 |
| Last Update Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114344611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 600304660001 (Washington) | Primary |
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