# LOWER ELWHA KLALLAM TRIBE DENTAL CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023134988
- **Authorized official:** FRANCES G CHARLES (CHAIRWOMAN)
- **Authorized official phone:** (360) 452-8471

## Contact information

- **Practice address:** 243511 W HIGHWAY 101, PORT ANGELES, WA 98363-9472
- **Practice address phone:** (360) 452-6252
- **Practice address fax:** (360) 452-6274
- **Mailing address:** 243511 W HIGHWAY 101, PORT ANGELES, WA 98363-9472
- **Mailing address phone:** (360) 452-6252
- **Mailing address fax:** (360) 452-6274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 03/17/2022