MEDICARE: DENTAL CARE ASSOCIATES OF SPOKANE VALLEY

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	122300000X	Dentist	5437	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992036271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL CARE ASSOCIATES OF SPOKANE VALLEY

Provider Business Mailing Address
First Line	:	507 N SULLIVAN RD
Second Line	:	SUITE A1
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99037-8576
Country	:	US
Telephone Number	:	509-928-9100
Fax Number	:	509-924-3724

Provider Business Practice Location Address
First Line	:	507 N SULLIVAN RD
Second Line	:	SUITE A1
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99037-8576
Country	:	US
Telephone Number	:	509-928-9100
Fax Number	:	509-924-3724

Authorized Official
Title or Position	:	OWNER
Name	:	JAMES G HOOD
Credential	:	D.D.S.
Telephone Number	:	509-928-9100

Provider Enumeration Date	:	01/26/2010
Last Update Date	:	01/26/2010

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Directions to “DENTAL CARE ASSOCIATES OF SPOKANE VALLEY ” Practice Location

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