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NPI Code Detail

MEDICARE: GERALD ROGER BISS DDS

MEDICARE: GERALD ROGER BISS DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDE00004426WA

General Provider Information

NPI Number : 1841375391
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD ROGER BISS DDS
Provider Business Mailing Address
First Line : 243511 W HIGHWAY 101
Second Line :
City : PORT ANGELES
State : WA
Zip : 98363-9472
Country : US
Telephone Number : 360-452-5252
Fax Number : 360-452-6274
Provider Business Practice Location Address
First Line : 243511 W HIGHWAY 101
Second Line :
City : PORT ANGELES
State : WA
Zip : 98363-9472
Country : US
Telephone Number : 360-452-5252
Fax Number : 360-452-6274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 08/30/2012

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Directions to “ GERALD ROGER BISS DDS” Practice Location

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