Organization · Type 2 NPI

Kalispel Tribe of Indians

Dentist · Cusick, WA

NPI number 1083980080 Active

Practice location

1821 Leclerc Rd N Ste 1
Cusick, WA 99119-5015

Call (509) 447-7111 Map

Fax (509) 445-1152

Mailing address

PO Box 67
Usk, WA 99180-0067

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	DE00009801 (WA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

7 other providers at this address

NPI record

NPI: 1083980080
Entity type: Organization (Type 2)
Issued: Mar 24, 2012
Last updated: Sep 13, 2023
Status: Active

Other names

<unavail>
Camas Center Dental Clinic · doing business as
Camas Center Dental Clinic · doing business as

Authorized official

Tracy Lynn Birdtail
Am
(509) 447-7112

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083980080

Kalispel Tribe of Indians's National Provider Identifier is 1083980080, issued on Mar 24, 2012. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Cusick, WA. The record was last updated on Sep 13, 2023.