Gillespie & Gillespie Ps | |
13200 Se Mcgillivray Vancouver WA 98683 | |
(360) 892-6132 | |
(360) 892-0297 |
Full Name | Gillespie & Gillespie Ps |
---|---|
Speciality | Dentist |
Location | 13200 Se Mcgillivray, Vancouver, Washington |
Authorized Official Name and Position | S Bradley Gillespie (PRESIDENT) |
Authorized Official Contact | 3608926132 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gillespie & Gillespie Ps 13200 Se Mcgillivray Vancouver WA 98683 Ph: (360) 892-6132 | Gillespie & Gillespie Ps 13200 Se Mcgillivray Vancouver WA 98683 Ph: (360) 892-6132 |
NPI Number | 1467512988 |
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Provider Enumeration Date | 12/12/2006 |
Last Update Date | 12/23/2015 |
Medicare PECOS PAC ID | 6002120581 |
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Medicare Enrollment ID | O20150728004512 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467512988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Provider Name | S Gillespie |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1093875528 PECOS PAC ID: 5698087666 Enrollment ID: I20150728004621 |
Provider Name | Dennis H Gillespie |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1710325675 PECOS PAC ID: 1153635610 Enrollment ID: I20150902002796 |
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