# THE FAIRFIELD DENTAL CLINIC

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

## Provider details

- **NPI number:** 1023489465
- **Authorized official:** JOSEPH L OSTHELLER DDS (DENTIST)
- **Authorized official phone:** (509) 283-2261

## Contact information

- **Practice address:** 214 MAIN ST, FAIRFIELD, WA 99012
- **Practice address phone:** (509) 283-2261
- **Mailing address:** PO BOX 305, FAIRFIELD, WA 99012-0305
- **Mailing address phone:** (509) 283-2261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE 00008595 | WA | Yes |

## Other

- **Enumeration date:** 10/12/2015
- **Last updated:** 10/12/2015