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SQUAXIN ISLAND TRIBE
NPI 1255546578
Clinic/Center - Dental in Shelton, WA

Active since May 11, 2007
90 SE KLAH CHE MIN DR, SHELTON, WA 98584(360) 427-9006 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Squaxin Island Tribe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SQUAXIN ISLAND TRIBE (NPI 1255546578) is a healthcare organization registered as a dental in Shelton, Washington and active in the NPI registry since May 2007. The organization lists Whitney Jones, Director, as its authorized official.

NPPES Registry Identity

NPI1255546578
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSQUAXIN ISLAND DENTAL CLINIC FFS
Location Address90 SE KLAH CHE MIN DRShelton, WA 98584-9216
Mailing Address90 Se Klah Che Min DrShelton, WA 98584-9216 · (360) 427-9006
Phone(360) 427-9006
Organization SubpartNo
Authorized OfficialWhitney JonesDirector · (360) 427-9006
Enumeration DateMay 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1255546578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
90 SE KLAH CHE MIN DR, Shelton, WA 98584
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Other Names 1

Other NameSquaxin Island Tribe

Other Identifiers 1

Medicaid5052139WA

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SQUAXIN ISLAND DENTAL CLINIC ENCOUNTER
Clinic/Center (Dental)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
MS. PAMELA LYNN PETERS RN
Registered Nurse
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
NISSAN ARMAS PA-C
Physician Assistant
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
SQUAXIN ISLAND MEDICAID ENCOUNTER
Clinic/Center
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
MISS SUSAN ROWSON MA
Counselor
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 432-3896
BRENDA DORSEY MSW, LMHC
Counselor (Mental Health)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 432-3921
JONATHAN CORBIN WILTON M.D.
Family Medicine
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
MRS. RACHEL HELENA ARMAS ARNP, FNP-C
Nurse Practitioner
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Squaxin Island Dental Clinic Ffs's NPI number?

The NPI number for Squaxin Island Dental Clinic Ffs is 1255546578. It was assigned to this organization in the NPPES registry on May 11, 2007. The provider is also known as Squaxin Island Tribe.

Where is Squaxin Island Dental Clinic Ffs located?

Squaxin Island Dental Clinic Ffs is located at 90 SE Klah Che Min Dr, Shelton, WA 98584. The listed phone number is (360) 427-9006.

What is Squaxin Island Dental Clinic Ffs's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Squaxin Island Dental Clinic Ffs was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.