| Decker Dental | |
|
1120 Cole St Enumclaw WA 98022-2637 | |
| (360) 825-3191 | |
| (360) 802-4785 |
| Full Name | Decker Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1120 Cole St, Enumclaw, Washington |
| Authorized Official Name and Position | Scott C Decker (OWNER/DENTIST) |
| Authorized Official Contact | 3608253191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decker Dental 1120 Cole St Enumclaw WA 98022-2637 Ph: (360) 825-3191 | Decker Dental 1120 Cole St Enumclaw WA 98022-2637 Ph: (360) 825-3191 |
| NPI Number | 1083400154 |
|---|---|
| Provider Enumeration Date | 04/16/2025 |
| Last Update Date | 04/23/2025 |
| Certification Date | 04/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083400154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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Christopher P Koontz, DDS, PS Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2617 Griffin Ave, Enumclaw, WA 98022 Phone: 360-825-2191 Fax: 360-825-1830 |