Provider Demographics
NPI:1669010062
Name:STEPHEN J. TURELLA DMD PLLC
Entity Type:Organization
Organization Name:STEPHEN J. TURELLA DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TURELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:253-861-9566
Mailing Address - Street 1:303 QUAILS ROOST RD
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-4713
Mailing Address - Country:US
Mailing Address - Phone:253-861-9566
Mailing Address - Fax:
Practice Address - Street 1:902 E 8TH ST
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-6421
Practice Address - Country:US
Practice Address - Phone:360-457-9470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental