Healthcare Provider Details

I. General information

NPI: 1760320352
Provider Name (Legal Business Name): JAY SCIUCHETTI DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 S GRAND BLVD
SPOKANE WA
99203-2349
US

IV. Provider business mailing address

2103 S GRAND BLVD
SPOKANE WA
99203-2349
US

V. Phone/Fax

Practice location:
  • Phone: 509-624-0542
  • Fax: 509-624-0542
Mailing address:
  • Phone: 509-624-0542
  • Fax: 509-624-0542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: LINDSAY BROWN
Title or Position: OFFICE MANAGER
Credential: BROWN
Phone: 509-624-0542