Price, Andrea Michelle

Price, Andrea Michelle is an individual health care provider with primary practice located at 521 E Mountain View Ave , Ellensburg WA 98926-3865. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Assistant. Dental Providers / Dentist is her primary health care specialty. Price, Andrea Michelle can be contacted via phone (509) 933-2400.

Contact Information

Primary practice address
521 E Mountain View Ave Ellensburg WA 98926-3865
Phone: (509) 933-2400
Fax: (509) 933-4804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE60870697 Washington
Dental Providers / Dental Assistant 126800000X D160434347 Washington

Profile Details

NPI number 1710472717
LBN Legal business name Price, Andrea Michelle
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2018
Last updated Sep 10th, 2019 - about 6 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 1710472717 NPPES
Washington Other 0395484 LABOR AND INDUSTRIES
Washington MEDICAID 2105044 LABOR AND INDUSTRIES

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