# HACKNEY FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1891934550
- **Authorized official:** DR. KYLE HOUSTON HACKNEY DDS (PARTNER/DENTIST)
- **Authorized official phone:** (360) 426-1676

## Contact information

- **Practice address:** 1051 SE STATE ROUTE 3, SHELTON, WA 98584-7117
- **Practice address phone:** (360) 426-1676
- **Practice address fax:** (360) 427-4303
- **Mailing address:** PO BOX 398, SHELTON, WA 98584-0398
- **Mailing address phone:** (360) 426-1676
- **Mailing address fax:** (360) 427-4304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE60035243 | WA | Yes |

## Other

- **Enumeration date:** 02/19/2009
- **Last updated:** 02/19/2009