Kirks Dentuer Clinic

LBN: Kirks Dentuer Clinic
Kirks Dentuer Clinic is an health care organization with primary practice located at 2048 Ne Kresky Ave , Chehalis WA 98532-2322. The organization recently has only one registered license in Dental Providers / Denturist, which is considered as the primary health care specialty. Kirks Dentuer Clinic can be contacted via phone (360) 740-9883, or through Delaney, Amber Rai via phone (360) 740-9883.

Contact Information

Primary practice address
2048 Ne Kresky Ave Chehalis WA 98532-2322
Phone: (360) 740-9883
Fax: (360) 740-1894
Website:
Map and Directions
Authorized official contact:
Name: Delaney, Amber Rai
Phone: (360) 740-9883

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN00000170 Washington

Profile Details

NPI number 1346450525
LBN Legal business name Kirks Dentuer Clinic
DBA Doing business as
Authorized official Delaney, Amber Rai
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
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 1346450525 NPPES
Washington MEDICAID 5050216
Washington Other 9118342

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