Individual provider · Type 1 NPI

Shirley Konstance Locke, DDS

General Practice Dentistry · Lake Tapps, WA

NPI number 1053604041 Active

Practice location

4429 185th Ave E
Lake Tapps, WA 98391-9112

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDE 6049 (WA)

General Practice Dentistry: 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.

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About NPI 1053604041

Shirley Konstance Locke, DDS's National Provider Identifier is 1053604041, issued on May 24, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lake Tapps, WA. The record was last updated on May 24, 2011.