# JAMES F. SELANDER, DDS

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

## Provider details

- **NPI number:** 1881809945
- **Authorized official:** DR. JAMES FULLMER SELANDER D.D.S. (DOCTOR OWNER)
- **Authorized official phone:** (360) 457-3669

## Contact information

- **Practice address:** 832 E 8TH ST, PORT ANGELES, WA 98362-6419
- **Practice address phone:** (360) 457-3669
- **Practice address fax:** (360) 452-7998
- **Mailing address:** 832 E 8TH ST, PORT ANGELES, WA 98362-6419
- **Mailing address phone:** (360) 457-3669
- **Mailing address fax:** (360) 452-7998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00008354 | WA | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1053400440 | INDIVIDUAL NPI | WA |
| 05 | — | 5036868 | — | WA |
| 05 | — | 5049515 | — | WA |