Organization
NEWPORT DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GARY COOL DMD (DENTIST)
(509) 447-3105
Entity
Organization
Contact information
Practice address
610 WEST SECOND ST., BOX 849, NEWPORT, WA 99156
(509) 447-3105
(509) 447-5661
Mailing address
610 WEST SECOND ST, NEWPORT, WA 99156
(509) 447-3105
(509) 447-5661
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5239
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376625442
—
WA
Enumeration date
09/01/2016
Last updated
09/01/2016
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