Swinomish/Upper Skagit Dental Clinic

LBN: Swinomish/Upper Skagit Dental Clinic
Swinomish/Upper Skagit Dental Clinic is an health care organization with primary practice located at 17395 Reservation Rd , La Conner WA 98257-8802. The organization recently has 2 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Managed Care Organizations / Point of Service. Agencies / Public Health or Welfare is the primary health care specialty. Swinomish/Upper Skagit Dental Clinic can be contacted via phone (360) 466-3900, or through Dailey, Raymond A via phone (360) 466-3900.

Contact Information

Primary practice address
17395 Reservation Rd La Conner WA 98257-8802
Phone: (360) 466-3900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dailey, Raymond A Doctor of Dental Surgery (DDS)
Phone: (360) 466-3900

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X NC6498 North Carolina
Managed Care Organizations / Point of Service 305S00000X NC6498 North Carolina

Profile Details

NPI number 1104093731
LBN Legal business name Swinomish/Upper Skagit Dental Clinic
DBA Doing business as
Authorized official Dailey, Raymond A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2008
Last updated May 13th, 2008 - about 17 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 1104093731 NPPES
Washington MEDICAID 5039490

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