| Fall City Dental Clinic Inc | |
|
33609 Redmond-fall City Rd Fall City WA 98024 | |
| (425) 222-7011 | |
| (425) 222-9574 |
| Full Name | Fall City Dental Clinic Inc |
|---|---|
| Speciality | Dentist |
| Location | 33609 Redmond-fall City Rd, Fall City, Washington |
| Authorized Official Name and Position | Greg M Fawcett (DENTIST OWNER PRESIDENT) |
| Authorized Official Contact | 4252227011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fall City Dental Clinic Inc Po Box 1029 Fall City WA 98024 Ph: (425) 222-7011 | Fall City Dental Clinic Inc 33609 Redmond-fall City Rd Fall City WA 98024 Ph: (425) 222-7011 |
| NPI Number | 1841202009 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841202009 | NPI | - | NPPES |
| FA1504 | Other | WA | REGENCE INS |
| 215712215712 | Other | WA | PREMERA BLUE CROSS |
| 674169 | Other | WA | UNITED CONCORDIA INC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00005563 (Washington) | Primary |
Steven Kim Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 33428 Se Redmond Fall City Rd, Fall City, WA 98024 Phone: 425-222-5121 |