Kamilche Dental Center

LBN: Kamilche Dental Center
Kamilche Dental Center is an health care organization with primary practice located at 3100 Se Old Olympic Hwy , Shelton WA 98584-7731. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Denturist. Dental Providers / Dentist is the primary health care specialty. Kamilche Dental Center can be contacted via phone (360) 427-1784, or through Peters, Steven R via phone (360) 427-1784.

Contact Information

Primary practice address
3100 Se Old Olympic Hwy Shelton WA 98584-7731
Phone: (360) 427-1784
Fax: (360) 427-1818
Website:
Map and Directions
Authorized official contact:
Name: Peters, Steven R LISCENSED DENTURIST
Phone: (360) 427-1784

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE00008865 Washington
Dental Providers / Denturist 122400000X DN0000036 Washington
Dental Providers / Denturist 122400000X DN00000236 Washington

Profile Details

NPI number 1043379480
LBN Legal business name Kamilche Dental Center
DBA Doing business as
Authorized official Peters, Steven R LISCENSED DENTURIST
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Aug 7th, 2012 - about 12 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 1043379480 NPPES
Washington MEDICAID 5040365

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