# PENINSULA COMMUNITY HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peninsula Community Health Services- Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497455141
- **Authorized official:** JENNIFER KREIDLER-MOSS (CEO)
- **Authorized official phone:** (360) 377-3776

## Contact information

- **Practice address:** 3102 WHEATON WAY, BREMERTON, WA 98310-3437
- **Practice address phone:** (360) 377-3776
- **Mailing address:** PO BOX 960, BREMERTON, WA 98337-0212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 03/09/2023
- **Last updated:** 06/03/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | NPI | — | WA |