| Fircrest Family Dental | |
|
4040 Orchard St W Ste 200 Fircrest WA 98466-6615 | |
| (253) 292-0596 | |
| Not Available |
| Full Name | Fircrest Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4040 Orchard St W Ste 200, Fircrest, Washington |
| Authorized Official Name and Position | Nari Lee (OFFICE MANAGER) |
| Authorized Official Contact | 2532920596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fircrest Family Dental 3670 Bridgeport Way W Unit B University Place WA 98466-4413 Ph: (253) 212-3430 | Fircrest Family Dental 4040 Orchard St W Ste 200 Fircrest WA 98466-6615 Ph: (253) 292-0596 |
| NPI Number | 1376010652 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 10/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376010652 | NPI | - | NPPES |
| 1023163425 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Fircrest Children's Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Regents Blvd Ste 200, Fircrest, WA 98466 Phone: 253-564-2222 | |
James P. Gagliardi, Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 Regents Blvd, Suite 201, Fircrest, WA 98466 Phone: 253-564-2570 Fax: 253-564-2652 | |
Emerson Dental Inc Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1339 Alameda Ave, Fircrest, WA 98466 Phone: 253-565-2895 Fax: 253-565-2702 |