| Elizabeth Manchester Dds Pllc | |
|
5340 Corporate Center Loop Se Ste A Lacey WA 98503-5590 | |
| (360) 943-6378 | |
| (360) 943-4866 |
| Full Name | Elizabeth Manchester Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5340 Corporate Center Loop Se Ste A, Lacey, Washington |
| Authorized Official Name and Position | Jennifer Lynn Nichole Worley (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 3609436378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Manchester Dds Pllc 5340 Corporate Center Loop Se Ste A Lacey WA 98503-5590 Ph: (360) 943-6378 | Elizabeth Manchester Dds Pllc 5340 Corporate Center Loop Se Ste A Lacey WA 98503-5590 Ph: (360) 943-6378 |
| NPI Number | 1295596112 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 06/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295596112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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