South Kitsap Family Dentistry is a Dental Clinic in Port Orchard, Washington. It is located at 1953 Pottery Ave, Port Orchard, WA and its contact number is 360-876-6211. The authorized person for South Kitsap Family Dentistry is Mrs. Susan Lynn Bock
who is Administrative Assistant of the clinic and their contact number is 360-876-6211. The primary license number for South Kitsap Family Dentistry is 9039 (General Practice) in Washington. South Kitsap Family Dentistry Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
South Kitsap Family Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
South Kitsap Family Dentistry
Specialization:
General Practice Dentistry
Clinic Address:
1953 Pottery Ave, Port Orchard, Washington, 98366-2558
Phone:
360-876-6211
Fax:
360-876-7952
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Susan Lynn Bock
Position:
Administrative Assistant
Contact Number:
360-876-6211
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for South Kitsap Family Dentistry clinic are as mentioned below.
NPI Number:
1144570003
NPI Enumeration Date:
18 Sep, 2012
NPI Last Update On:
18 Sep, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Kitsap Family Dentistry are as mentioned below.
Specialization
License Number
State
Status
General Practice
9039
Washington
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
12230000X
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
South Kitsap Family Dentistry 1953 Pottery Ave, Port Orchard, Washington
Zip:
98366-2558
Phone Number:
360-876-6211
Fax Number:
360-876-7952
Patients can reach South Kitsap Family Dentistry at 1953 Pottery Ave, Port Orchard, Washington or can call to book an appointment on 360-876-6211. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.