| University Place Smiles Pllc | |
|
3670 Bridgeport Way W Unit B University Place WA 98466-4413 | |
| (253) 212-3430 | |
| (253) 212-3288 |
| Full Name | University Place Smiles Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3670 Bridgeport Way W, University Place, Washington |
| Authorized Official Name and Position | Yong K Park (OWNER/DENTIST) |
| Authorized Official Contact | 2532123430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Place Smiles Pllc 3670 Bridgeport Way W Unit B University Place WA 98466-4413 Ph: (253) 212-3430 | University Place Smiles Pllc 3670 Bridgeport Way W Unit B University Place WA 98466-4413 Ph: (253) 212-3430 |
| NPI Number | 1780020677 |
|---|---|
| Provider Enumeration Date | 05/17/2013 |
| Last Update Date | 09/07/2016 |
| Medicare PECOS PAC ID | 7810284288 |
|---|---|
| Medicare Enrollment ID | O20160928002235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780020677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE0009186 (Washington) | Primary |
| Provider Name | Yong K Park |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023163425 PECOS PAC ID: 4183928161 Enrollment ID: I20160928002332 |
Ideal Dental - University Place 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 | |
Gary R Shaw Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4103 Bridgeport Way W, Suite A, University Place, WA 98466 Phone: 253-565-4474 Fax: 253-565-6848 | |
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 |