# MEYERS-FOLSOM DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Robert M. Meyers DDS & Reid A. Folsom DDS PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740434125
- **Authorized official:** CARI E MEYERS (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (509) 758-5011

## Contact information

- **Practice address:** 1336 5TH ST, CLARKSTON, WA 99403-3314
- **Practice address phone:** (509) 758-5011
- **Practice address fax:** (509) 751-9125
- **Mailing address:** 1336 5TH ST, CLARKSTON, WA 99403-3314
- **Mailing address phone:** (509) 758-5011
- **Mailing address fax:** (509) 751-9125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00005292 | WA | Yes |

## Other

- **Enumeration date:** 11/11/2008
- **Last updated:** 06/12/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5000146 | — | WA |
| 05 | — | 5007018 | — | WA |
| 05 | — | 5021787 | — | WA |
| 01 | — | DE00005292 | STATE LICENSE NUMBER | WA |
| 01 | — | DE00007440 | STATE LICENSE NUMBER | WA |
| 01 | — | DE60882146 | STATE LICENSE NUMBER | WA |