Goldendale Dental Center Inc Pc

LBN: Goldendale Dental Center Inc Pc
Goldendale Dental Center Inc Pc is an health care organization with primary practice located at 617 E Collins St , Goldendale WA 98620-9213. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Goldendale Dental Center Inc Pc can be contacted via phone (509) 773-5545, or through Ferch, Lyle E via phone (509) 773-5545.

Contact Information

Primary practice address
617 E Collins St Goldendale WA 98620-9213
Phone: (509) 773-5545
Fax: (509) 773-6718
Website:
Map and Directions
Authorized official contact:
Name: Ferch, Lyle E Doctor of Dental Surgery (DDS)
Phone: (509) 773-5545

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00006589 Washington

Profile Details

NPI number 1689696734
LBN Legal business name Goldendale Dental Center Inc Pc
DBA Doing business as
Authorized official Ferch, Lyle E Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated May 2nd, 2012 - about 13 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 1689696734 NPPES
Washington Other 0105783 L&I PROVIDER #
Washington MEDICAID 5013024 L&I PROVIDER #

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