Healthcare Provider Details

I. General information

NPI: 1477611580
Provider Name (Legal Business Name): FOX'S SPOKANE DENTURE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 08/01/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3009 S MT VERNON SUITE 2
SPOKANE WA
99223
US

IV. Provider business mailing address

3009 S MT VERNON SUITE 2
SPOKANE WA
99223
US

V. Phone/Fax

Practice location:
  • Phone: 509-535-7434
  • Fax: 509-536-4744
Mailing address:
  • Phone: 509-535-7434
  • Fax: 509-536-4744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122400000X
TaxonomyDenturist
License NumberDN00000044
License Number StateWA

VIII. Authorized Official

Name: CAPRI FOX
Title or Position: OWNER
Credential: LD, DPD
Phone: 509-535-7434