| Bridgeport Dental Arts | |
|
4103 Bridgeport Way W Suite A University Place WA 98466 | |
| (253) 565-4474 | |
| (253) 565-6848 |
| Full Name | Bridgeport Dental Arts |
|---|---|
| Speciality | Dentist |
| Location | 4103 Bridgeport Way W, University Place, Washington |
| Authorized Official Name and Position | Gary R Shaw (DENTIST OWNER) |
| Authorized Official Contact | 2535654474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeport Dental Arts 4103 Bridgeport Way W Suite A University Place WA 98466 Ph: (253) 565-4474 | Bridgeport Dental Arts 4103 Bridgeport Way W Suite A University Place WA 98466 Ph: (253) 565-4474 |
| NPI Number | 1265535652 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 10/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265535652 | NPI | - | NPPES |
| 601484620 | Other | WA | WASTEMPLOYMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1431549922 (Utah) | Secondary |
| 122300000X | Dentist | DE00006436 (Washington) | Primary |
Dr Rodney Alles Chartered Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3626 Market Pl W Ste 101, University Place, WA 98466 Phone: 253-250-4986 Fax: 253-648-1510 | |
University Place Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7120 40th St W, University Place, WA 98466 Phone: 253-565-4312 Fax: 253-565-9925 | |
Cheiryl Legaspi Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2607 Bridgeport Way W Ste 1k, University Place, WA 98466 Phone: 253-777-2531 Fax: 206-201-3955 | |
Little Sprouts Kids Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4111 Bridgeport Way W, Suite D, University Place, WA 98466 Phone: 626-241-2669 | |
Young Jeremiah Yoon, Dmd,rph, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4113 Bridgeport Way W, Suite A, University Place, WA 98466 Phone: 253-564-6341 | |
Dr Dennis Burrell Dds And Associates, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4310 Bridgeport Way W, Suite D, University Place, WA 98466 Phone: 253-564-7645 Fax: 253-566-3449 |