PORT GAMBLE S'KLALLAM DENTAL CLINIC (NPI# 1669531067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669531067 |
| Entity Type | Organization |
| Organization Name | PORT GAMBLE S'KLALLAM DENTAL CLINIC |
| Practice Address |
32014 Little Boston Rd Ne Kingston WA 98346-9734 |
| Practice Telephone | 3602979601 |
| Practice Fax Number | 3602979614 |
| Mailing Telephone | 3602979601 |
| Mailing Fax Number | 3602979614 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KERSTIN MARGARETA POWELL (HEALTH CENTER BUSINESS OFFICE MANAG) |
| Authorized Official Telephone | 3602979601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5031810 | 05 | |
| WA | 5031794 | 05 |
| Street Address |
32014 LITTLE BOSTON RD NE |
| City | KINGSTON |
| State | WA |
| Zip Code | 98346-9734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942257027 | Piero Francis Sandri | Specialist | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2006-05-27 |
| 1518585579 | Port Gamble S'klallam Tribe | Clinic/Center | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2020-07-07 |
| 1467874156 | Lane Daniel | Counselor | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2014-01-14 |
| 1902056955 | Dorie M Salem-soule | Dental Hygienist | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2008-09-26 |
| 1447418785 | Katarzyna Hoskins | Counselor | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2008-05-22 |
| 1417114869 | Deanna Griffeth | Counselor | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2008-05-21 |
| 1760677140 | Carol J Croff | Registered Nurse | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2007-09-10 |
| 1952596629 | Holly A Blanton | Registered Nurse | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2007-09-06 |
| 1043435563 | Port Gamble S'klallam Orca Pride | Clinic/Center | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2007-04-17 |
| 1649391871 | Port Gamble S'klallam Social Services | Clinic/Center | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725688 | Sierra Joye Lari | Massage Therapist | 8202 Ne Highway 104, Suite 105, Kingston, WA 98346 | 2020-03-12 |
| 1235641705 | Reba Lee Harris | Counselor | 7550 Little Boston Road N.e, Kingston, WA 98346 | 2017-10-24 |
| 1134592421 | Honeycomb Medical Services, A Med Corp | Physician Assistant | 700 Alamo Pintado Road, Solvang, CA 98346 | 2015-11-09 |
| 1588000764 | Donald G Hill | Contractor | 26325 Ne Illinois Ave, B 105, Kingston, WA 98346 | 2013-05-15 |
| 1104161900 | Marcus Dean Atkinson | Massage Therapist | 8202 Ne Hwy 104, Ste 105, Kingston, WA 98346 | 2012-12-05 |
| 1245580687 | Samantha Christine Kottke | Massage Therapist | 25960 Ohio Ave Suite 206, Kingston, WA 98346 | 2012-09-13 |
| 1265713390 | Karen Dale Friend | Pharmacist | 8196 State Highway 104, Kingston, WA 98346 | 2011-09-02 |
| 1750526323 | Megan Elizabeth Pratt | Mechanotherapist | 25925 Washington Blvd., Kingston, WA 98346 | 2008-12-10 |
| 1073787412 | Cindy Pamela Haines | Massage Therapist | 25925 Washington Boulevard Ne, Kingston, WA 98346 | 2008-04-16 |
| 1417163031 | Dian Aletha Poyssick | Pharmacist | 8196 State Route 104, Kingston, WA 98346 | 2007-05-14 |
| Find all providers in zip 98346 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1124628524 | Brand Dental | Clinic/Center | 401 Market St Ste 102, Kingston, PA 18704-5417 | 2020-10-27 |
| 1912071358 | Creative Dental Arts,llc | Clinic/Center | 1127 Dalewood St, Kingston, NY 12401-1011 | 2006-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700671 | K.lee, Dds, Pllc. | Clinic/Center | 20709 Mountain Hwy E # 102, Spanaway, WA 98387-8580 | 2020-11-06 |
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1356942684 | Healthy Smiles Northwest | Clinic/Center | 11808 18th St Se, Lake Stevens, WA 98258-2046 | 2020-11-03 |
| 1306446240 | Christine A Woodward, Dds, Pllc | Clinic/Center | 45860 Main St, Concrete, WA 98237 | 2020-10-29 |
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1174121792 | Evolve Dental LLC | Clinic/Center | 4410 194th St Sw Ste A, Lynnwood, WA 98036-5598 | 2020-10-15 |
| 1326646035 | Natasha Habib Dds Ps | Clinic/Center | 1025 153rd St Se Ste 103, Mill Creek, WA 98012-4051 | 2020-10-14 |
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1164039731 | Consolidated Dental Three | Clinic/Center | 19221 108th Ave Se Ste 2, Renton, WA 98055-7369 | 2020-09-28 |
| 1184230294 | Ng Russell Dds PC | Clinic/Center | 20307 Viking Ave Nw Ste 201, Poulsbo, WA 98370-8321 | 2020-09-23 |
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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.