| Shelton Dental Center | |
|
1829 Jefferson St Shelton WA 98584-2004 | |
| (360) 426-8401 | |
| (360) 426-1427 |
| Full Name | Shelton Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1829 Jefferson St, Shelton, Washington |
| Authorized Official Name and Position | Katherine Ketcher (OWNER/MANAGER) |
| Authorized Official Contact | 3604268401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelton Dental Center 1829 Jefferson St Shelton WA 98584-2004 Ph: (360) 426-8401 | Shelton Dental Center 1829 Jefferson St Shelton WA 98584-2004 Ph: (360) 426-8401 |
| NPI Number | 1134563471 |
|---|---|
| Provider Enumeration Date | 04/17/2013 |
| Last Update Date | 04/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134563471 | NPI | - | NPPES |
| 1386734416 | Other | NPPES NPI | |
| 1427022326 | Other | NPPES NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE9709 (Washington) | Primary |
Squaxin Island Tribe Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Se Klah Che Min Dr, Shelton, WA 98584 Phone: 360-427-9006 | |
Kamilche Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Se Old Olympic Hwy, Shelton, WA 98584 Phone: 360-427-1784 Fax: 360-427-1818 | |
William J Busacca Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Olympic Hwy N, Shelton, WA 98584 Phone: 360-426-9711 Fax: 360-426-6361 | |
Shelton Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1829 Jefferson St, Shelton, WA 98584 Phone: 360-426-8401 Fax: 360-426-1427 | |
Bowers Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Olympic Hwy N, Shelton, WA 98584 Phone: 360-426-9711 Fax: 360-426-6361 | |
Squaxin Island Tribe Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Se Klah Che Min Dr, Shelton, WA 98584 Phone: 360-427-9006 |