DR. VICKY C LECLAIR (NPI# 1245202282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245202282 |
| Entity Type | Individual |
| Full Name | DR. VICKY C LECLAIR |
| Credential | D.D.S. |
| Practice Address |
19319 7th Ave Ne Poulsbo WA 98370-7442 |
| Practice Telephone | 3603944337 |
| Practice Fax Number | 3603944334 |
| Mailing Telephone | 3603944337 |
| Mailing Fax Number | 3603944334 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6481 | WA | Dental Providers |
| Street Address |
19319 7TH AVE NE |
| City | POULSBO |
| State | WA |
| Zip Code | 98370-7442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578006375 | Jarel Bakke | Physical Therapist | 19319 7th Ave Ne, Poulsbo, WA 98370-7442 | 2016-11-28 |
| 1235441197 | Benjamin Michael Radack | Physical Therapist | 19319 7th Ave Ne, #108, Poulsbo, WA 98370-7442 | 2010-07-08 |
| 1093042889 | Tanya Gunby | Massage Therapist | 19319 7th Ave Ne, Poulsbo, WA 98370-7442 | 2009-11-16 |
| 1619204591 | Stacey Lynn Turk | Physical Therapist | 19319 7th Ave Ne, Poulsbo, WA 98370-7442 | 2009-11-12 |
| 1467691832 | John Frank Boulukos | Physical Therapist | 19319 7th Ave Ne, Poulsbo, WA 98370-7442 | 2009-02-09 |
| 1255528253 | Nina Bockholdt | Massage Therapist | 19319 7th Ave Ne, #100, Poulsbo, WA 98370-7442 | 2007-10-03 |
| 1780802967 | Margery F Miller | Physical Therapist | 19319 7th Ave Ne, Suite 100, Poulsbo, WA 98370-7442 | 2007-04-23 |
| 1134244494 | Victoria Mosco | Massage Therapist | 19319 7th Ave Ne, Suite 108, Poulsbo, WA 98370-7442 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324010 | Francie Corinn Edens | Massage Therapist | 225 Nw Lindvig Way Suite# 6, Poulsbo, WA 98370 | 2020-01-03 |
| 1972155679 | Marcela Serocki | Massage Therapist | 18657 Wa-305, Suite 4, Poulsbo, WA 98370 | 2019-07-12 |
| 1508425943 | Ryan Brinton | Physical Therapist | Kitsap Physical Therapy and Sports Clinics, 19319 7th Ave Ne Ste 108, Poulsbo, WA 98370 | 2019-06-10 |
| 1598220816 | Naomi Whitney Orong | Massage Therapist | 19068 Nw Jenson Way, Suite 4b, Poulsbo, WA 98370 | 2019-02-01 |
| 1043774953 | Maryanne Phillips Bellman | Physical Therapist | 442 Viewmont Ave, Poulsbo, WA 98370 | 2019-01-24 |
| 1285102293 | Andrea Sander | Registered Nurse | 19883 12th Ave Ne, Poulsbo, WA 98370 | 2018-11-07 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
| 1700304334 | Samantha Przybylek Gavinski | Nurse Practitioner | 19500 10th Ave Ne Suite 100, Poulsbo, WA 98370 | 2017-09-04 |
| 1285164327 | Johanna Taylor | Behavior Technician | 21786 Windmill Loop Nw, Poulsbo, WA 98370 | 2017-06-12 |
| 1568990554 | Eva Geurtsen | Physical Therapy Assistant | 19160 Front St, Poulsbo, WA 98370 | 2017-06-02 |
| Find all providers in zip 98370 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996823 | Dr. Lisa Horschman D.d.s., Pllc | Dentist | 19365 7th Ave Ne Ste 106, Poulsbo, WA 98370-7441 | 2019-05-08 |
| 1831542984 | Shioon Kim Dmd Ps | Dentist | 19351 8th Ave Ne Ste 211, Poulsbo, WA 98370-8710 | 2016-07-13 |
| 1083961536 | Scott A Broadbent | Dentist | 19365 7th Ave Ne Ste 110, Poulsbo, WA 98370-7441 | 2012-08-14 |
| 1104983220 | Eugene S Mumford | Dentist | 19163 Jensen Way Ne, Poulsbo, WA 98370-0148 | 2007-01-02 |
| 1366515025 | Stanton F Brand | Dentist | 20855 Bond Road Ne, Poulsbo, WA 98370 | 2006-11-17 |
| 1699873844 | Scott A. Broadbent, D.d.s, P.s. | Dentist | 19365 7th Ave Ne, Suite 110, Poulsbo, WA 98370-7441 | 2006-09-20 |
| 1093817686 | Jeromy A Peterson | Dentist | 19301 8th Ave Ne, Poulsbo, WA 98370 | 2006-09-02 |
| 1497764070 | Brian L and Jennifer W Thornton Dds Ps | Dentist | 19170 8th Ave Ne, Poulsbo, WA 98370-8773 | 2006-08-05 |
| 1508884891 | Lance G Rencher | Dentist | 18825 Caldart Ave Ne Ste B, Poulsbo, WA 98370-8714 | 2006-07-17 |
| 1164448874 | Kregg Alfred Hoover | Dentist | 20730 Bond Rd Ne Ste 202a, Poulsbo, WA 98370-9000 | 2006-07-14 |
| Find all providers in POULSBO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.