Organization Name: | SHEELER DENTURE CLINIC |
NPI Number: | 1114229721 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT KEITH SHEELER (DENTURIST) |
Mailing Address: | 680 W Washington St Suite E-106 Sequim |
State: | WA US |
Postal Code: | 983823264 |
Phone Number: | 3606817999 |
Fax Number: | 3605829888 |
NPI Enumeration Date: | 12/02/2010 |
NPI Last Update Date: | 12/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 292200000X |
License Number: | DN00000232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Dental Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A commercial laboratory specializing in the construction of dental appliances that conform to a dentist |