Cannon Hill Dental

LBN: Cannon Hill Dental
Cannon Hill Dental is an health care organization with primary practice located at 1424 S Bernard St , Spokane WA 99203-5008. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Cannon Hill Dental can be contacted via phone (509) 624-5590, or through Bowerman, Abby via phone (509) 624-5590.

Contact Information

Primary practice address
1424 S Bernard St Spokane WA 99203-5008
Phone: (509) 624-5590
Fax: (509) 747-0483
Website:
Map and Directions
Authorized official contact:
Name: Bowerman, Abby
Phone: (509) 624-5590

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1154876464
LBN Legal business name Cannon Hill Dental
DBA Doing business as
Authorized official Bowerman, Abby
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2016
Last updated Aug 17th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154876464 NPPES
Washington MEDICAID 5028964

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