Organization
SHANE T NESS DDS PLLC
Active
Other names
Ness Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE T NESS DDS (OWNER)
(425) 898-8699
Entity
Organization
Contact information
Practice address
23515 NE NOVELTY HILL RD STE 209, REDMOND, WA 98053-5505
(425) 898-8699
(425) 898-1310
Mailing address
23515 NE NOVELTY HILL RD STE 209, REDMOND, WA 98053-5505
(425) 898-8699
(425) 898-1310
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10561
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10561
STATE LICENSE
WA
Enumeration date
07/26/2016
Last updated
07/26/2016
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