Childrens Dental Village

LBN: Kirk Fuhriman Pllc
Childrens Dental Village is an health care organization with primary practice located at 420 N Evergreen Rd Suite 200, Spokane Valley WA 99216-0973. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Kirk Fuhriman Pllc can be contacted via phone (509) 891-9011, or through Jackson, Teri R via phone (509) 891-9011.

Contact Information

Primary practice address
420 N Evergreen Rd Suite 200 Spokane Valley WA 99216-0973
Phone: (509) 891-9011
Fax: (509) 891-8999
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Teri R
Phone: (509) 891-9011

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE00010409 Washington

Profile Details

NPI number 1710117304
LBN Legal business name Kirk Fuhriman Pllc
DBA Doing business as Childrens Dental Village
Authorized official Jackson, Teri R
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2009
Last updated Apr 28th, 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 1710117304 NPPES
Washington MEDICAID 2001636

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