Creekside Dental Ellensburg Pllc

LBN: Creekside Dental Ellensburg Pllc
Creekside Dental Ellensburg Pllc is an health care organization with primary practice located at 2601 Triple L Loop , Ellensburg WA 98926. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Creekside Dental Ellensburg Pllc can be contacted via phone (509) 933-4800, or through Thysell, Leslee R via phone (509) 577-8279.

Contact Information

Primary practice address
2601 Triple L Loop Ellensburg WA 98926
Phone: (509) 933-4800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thysell, Leslee R
Phone: (509) 577-8279

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7703 Washington

Profile Details

NPI number 1275862468
LBN Legal business name Creekside Dental Ellensburg Pllc
DBA Doing business as
Authorized official Thysell, Leslee R
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2009
Last updated Dec 17th, 2009 - about 17 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 1275862468 NPPES
Washington MEDICAID NONE YET

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