Provider Demographics
NPI:1497967517
Name:STEPHEN C. CALL D.D.S., P.S.
Entity Type:Organization
Organization Name:STEPHEN C. CALL D.D.S., P.S.
Other - Org Name:MYDENTIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CALL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-464-4100
Mailing Address - Street 1:915 EAST HAWTHORNE ROAD
Mailing Address - Street 2:SUITE G
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218
Mailing Address - Country:US
Mailing Address - Phone:509-464-4100
Mailing Address - Fax:509-464-4104
Practice Address - Street 1:915 EAST HAWTHORNE ROAD
Practice Address - Street 2:SUITE G
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218
Practice Address - Country:US
Practice Address - Phone:509-464-4100
Practice Address - Fax:509-464-4104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00008830261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
WADE00008830OtherSTATE DENTAL LICENSE
WA8830 (2-8830)Other915 E HAWTHORNE LOCATION
WA8830 (5-8830)Other212 W BIRCH LOCATION