Provider Demographics
NPI:1538104682
Name:ASH, CECIL S (DDS)
Entity Type:Individual
Prefix:MR
First Name:CECIL
Middle Name:S
Last Name:ASH
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:19503 7TH AVE NE
Mailing Address - Street 2:#100
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-7529
Mailing Address - Country:US
Mailing Address - Phone:360-779-2339
Mailing Address - Fax:360-779-6475
Practice Address - Street 1:19503 7TH AVE NE
Practice Address - Street 2:#100
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-7529
Practice Address - Country:US
Practice Address - Phone:360-779-2339
Practice Address - Fax:360-779-6475
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH300215481223S0112X
IL190268071223S0112X
WA82261223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery