Organization
FAMILY DENTISTRY, JOSEPH L. OSTHELLER DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOWELL R OSTHELLER (MANAGER)
(360) 874-6846
Entity
Organization
Contact information
Practice address
3280 SE LUND, #8, PORT ORCHARD, WA 98366
(360) 874-6846
(360) 874-6853
Mailing address
3280 SE LUND, #8, PORT ORCHARD, WA 98366
(360) 874-6846
(360) 874-6853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE8595
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5032826
CORE/GROUP PROVIDER #
WA
01
—
5044342
DSHS PROVIDER # FOR PERFORMING DR JOSEPH OSTHELLER
WA
Enumeration date
10/09/2008
Last updated
10/09/2008
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