Bagley, James Kent

Bagley, James Kent is an individual health care provider with primary practice located at 1028 W Nixon St , Pasco WA 99301-5216. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bagley, James Kent can be contacted via phone (509) 547-1632.

Contact Information

Primary practice address
1028 W Nixon St Pasco WA 99301-5216
Phone: (509) 547-1632
Fax: (509) 547-6932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE 3657 Washington

Profile Details

NPI number 1700918042
LBN Legal business name Bagley, James Kent
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700918042 NPPES
Washington MEDICAID 5050414

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