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Contact Information

THE FAIRFIELD DENTAL CLINIC
214 MAIN ST
FAIRFIELD, WA99012
 Phone: 509-283-2261
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for THE FAIRFIELD DENTAL CLINIC

NPI Number 1023489465
LBN Legal business name THE FAIRFIELD DENTAL CLINIC
Authorized official JOSEPH OSTHELLER - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2015
Last updated 10/12/2015 - About 11 years ago
Identifiers
WA License # DE 00008595
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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