MEDICARE: SHOQUIST DMD PLLC

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
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1154263762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHOQUIST DMD PLLC

Provider Business Mailing Address
First Line	:	11412 N ANNA J DR
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-2703
Country	:	US
Telephone Number	:	910-973-5910
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 W HASTINGS RD
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-2576
Country	:	US
Telephone Number	:	910-973-5910
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TRASON SHOQUIST
Credential	:	DMD
Telephone Number	:	910-973-5910

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “SHOQUIST DMD PLLC ” Practice Location

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