Clark County Dental & Denture Clinic

LBN: Clark County Dental & Denture Clinic
Clark County Dental & Denture Clinic is an health care organization with primary practice located at 2701 Ne 114Th Ave # K-6, Vancouver WA 98684-4289. The organization recently has only one registered license in Dental Providers / Denturist, which is considered as the primary health care specialty. Clark County Dental & Denture Clinic can be contacted via phone (360) 892-7107, or through Fettig, Sally Irene via phone (360) 892-7107.

Contact Information

Primary practice address
2701 Ne 114Th Ave # K-6 Vancouver WA 98684-4289
Phone: (360) 892-7107
Fax: (360) 891-8361
Website:
Map and Directions
Authorized official contact:
Name: Fettig, Sally Irene
Phone: (360) 892-7107

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN0000195 Washington
Dental Providers / Denturist 122400000X DN00000393 Washington

Profile Details

NPI number 1982628939
LBN Legal business name Clark County Dental & Denture Clinic
DBA Doing business as
Authorized official Fettig, Sally Irene
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982628939 NPPES
Washington MEDICAID 5047576
Washington MEDICAID 5041082
Washington MEDICAID 5048616
Washington MEDICAID 5036074
Washington MEDICAID 5026356

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