| Canyon Orthodontics | |
|
5620 112th St E Suite 255 Puyallup WA 98373-3206 | |
| (253) 256-4000 | |
| (253) 770-9638 |
| Full Name | Canyon Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5620 112th St E, Puyallup, Washington |
| Authorized Official Name and Position | Thomas Henry (OWNER/DENTIST) |
| Authorized Official Contact | 2532564000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Orthodontics 5620 112th St E Suite 255 Puyallup WA 98373-3206 Ph: (253) 256-4000 | Canyon Orthodontics 5620 112th St E Suite 255 Puyallup WA 98373-3206 Ph: (253) 256-4000 |
| NPI Number | 1447630116 |
|---|---|
| Provider Enumeration Date | 06/08/2015 |
| Last Update Date | 06/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447630116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5432 (Washington) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 10731 (Washington) | Primary |
Light Dental Studios Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8012 112th Street Ct E, Suite #320, Puyallup, WA 98373 Phone: 253-848-2331 Fax: 253-840-4033 | |
Avenue Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10317 122nd St E, Suite D, Puyallup, WA 98374 Phone: 253-435-5656 Fax: 253-435-5838 | |
Levi Reynolds Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2921 5th Ave Ne Ste 110, Puyallup, WA 98372 Phone: 253-841-3173 | |
Kim D Nordberg Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11023 Canyon Rd E, Puyallup, WA 98373 Phone: 253-535-6666 Fax: 253-535-5432 | |
Paula Stepp Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15614 Meridian E Ste 400, Puyallup, WA 98375 Phone: 618-363-6496 | |
Rainier Dental Puyallup Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18710 Meridian E Ste 216, Puyallup, WA 98375 Phone: 253-846-5588 Fax: 253-846-5589 | |
George G. Ghosn D.d.s.,p.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 S Meridian, Puyallup, WA 98371 Phone: 253-845-7911 Fax: 253-845-1475 |