SWINOMISH/UPPER SKAGIT DENTAL CLINIC (NPI# 1104093731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104093731 |
| Entity Type | Organization |
| Organization Name | SWINOMISH/UPPER SKAGIT DENTAL CLINIC |
| Practice Address |
17395 Reservation Rd La Conner WA 98257-8802 |
| Mailing Address |
Po Box 332 La Conner WA 98257-0332 |
| Practice Telephone | 3604663900 |
| Mailing Telephone | 3604663900 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | DR. RAYMOND A DAILEY (DENTIST) |
| Authorized Official Telephone | 3604663900 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305S00000X | Point of Service | NC6498 | NC | Managed Care Organizations |
| Y | 251K00000X | Public Health or Welfare | NC6498 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5039490 | 05 |
| Street Address |
17395 RESERVATION RD |
| City | LA CONNER |
| State | WA |
| Zip Code | 98257-8802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427130145 | Raymond Dailey | Dentist | 17395 Reservation Rd, La Conner, WA 98257-8802 | 2006-10-20 |
| 1518591817 | Leah Beth Thibert | Dental Hygienist | 17395 Reservation Rd, La Conner, WA 98257 | 2020-02-25 |
| 1700081775 | Swinomish Tribal Mental Health Program | Counselor | 17395 Reservation Rd, La Conner, WA 98257-8802 | 2007-06-19 |
| 1922203405 | Swinomish Upper Skagit Dental | Dentist | 17395 Reservation Rd, La Conner, WA 98257-8802 | 2007-06-15 |
| 1407926413 | Rachael R Hogan | Dentist | 17395 Reservation Rd, La Conner, WA 98257-8802 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088144 | Rsl La Conner, LLC | Assisted Living Facility | 204 N. 1st St, La Conner, WA 98257 | 2020-06-19 |
| 1255950572 | The Everett Clinic, Pllc | Family Medicine | 528 Myrtle Street, Laconner, WA 98257 | 2020-04-16 |
| 1205302262 | Thanh Nguyen | Pharmacist | 708 E. Morris St, La Conner, WA 98257 | 2018-10-17 |
| 1023590197 | Melissa Danielle Adair | Nurse Practitioner | 708 Morris Street, Suite B, La Conner, WA 98257 | 2018-09-05 |
| 1013363886 | Steven Bruce Gooding | Counselor | 17400 Reservation Rd., La Conner, WA 98257 | 2016-05-10 |
| 1639550643 | Skagit County Fire District 13 | Ambulance | 17433 Snee-oosh Rd, La Conner, WA 98257 | 2015-06-16 |
| 1679909360 | Nina Marie Wawrzyniec | Chiropractor | 125 Washington Street, Laconner, WA 98257 | 2013-09-25 |
| 1669805180 | Reidun E Pederson | Registered Nurse | 403 State St., La Conner, WA 98257 | 2013-08-20 |
| 1326390527 | Susan Jane Erickson | Speech-Language Pathologist | 305 N. 6th, La Conner, WA 98257 | 2012-10-11 |
| 1528331469 | Charles Evert Larsson | Family Medicine | 528 Myrtle Avenue, La Conner, WA 98257 | 2012-02-22 |
| Find all providers in zip 98257 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561483 | Covid Response Partners Pllc | Public Health or Welfare | 2330 14th Ave E, Seattle, WA 98112-2103 | 2020-06-03 |
| 1962918656 | Cascade Connections | Public Health or Welfare | 1611 N State St, Bellingham, WA 98225-4602 | 2017-12-18 |
| 1992227375 | Clb Pharmaceutical Resources Inc | Public Health or Welfare | 22712 78th St. E, Buckley, WA 98321 | 2017-07-07 |
| 1598120206 | Snohomish Family Dental Care | Public Health or Welfare | 1322 Avenue D, Suite A, Snohomish, WA 98290-1746 | 2015-12-22 |
| 1417329715 | Karen Laumattus | Public Health or Welfare | 1510 40th St, Anacortes, WA 98221-3509 | 2015-10-26 |
| 1124419858 | Yun's Permanent Makeup | Public Health or Welfare | 813 W Main St, #106, Battle Ground, WA 98604-9175 | 2015-02-17 |
| 1396142816 | Yakima Health District | Public Health or Welfare | 1210 Ahtanum Ridge Dr, Union Gap, WA 98903-1813 | 2014-11-26 |
| 1821494279 | Kimberly D. Glace-krause | Public Health or Welfare | 1537 Primrose Ct, Lynden, WA 98264-9353 | 2014-11-13 |
| 1295136083 | Massa Wellness LLC | Public Health or Welfare | 10 Lake Shore Plz, Kirkland, WA 98033-6110 | 2014-09-11 |
| 1093120743 | Washington State Department of Health | Public Health or Welfare | 310 Israel Rd Se, Tumwater, WA 98501-5567 | 2014-06-20 |
| Find all providers with the same taxonomy | ||||
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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.