Provider Demographics
NPI:1710433081
Name:8 DAYS A WEEK DENTAL
Entity Type:Organization
Organization Name:8 DAYS A WEEK DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SHANCIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:WAGNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-242-3078
Mailing Address - Street 1:2607 S. SE BLVD SUITE
Mailing Address - Street 2:SUITE B210
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223
Mailing Address - Country:US
Mailing Address - Phone:509-242-3078
Mailing Address - Fax:
Practice Address - Street 1:2607 S SOUTHEAST BLVD
Practice Address - Street 2:SUITE B210
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-4942
Practice Address - Country:US
Practice Address - Phone:509-242-3078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE602947721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty