Jay W Magnuson, D.D.S
Individual provider Active NPI General Practice Dentistry · Quincy, WA
NPI 1740205178 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740205178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3968 (WA)
- Practice address
- 201 H St SE
Quincy, WA 98848-1507 - Phone
- (509) 787-1507
- Fax
- (509) 787-2100
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3968 | WA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3968 | WA | Yes |
Addresses
Primary practice location
201 H St SE
Quincy, WA 98848-1507
Mailing address
201 H St SE
Quincy, WA 98848-1507
Phone (509) 787-1507
Other providers in Quincy, WA
- Marco Leon
- Lourdes Y Lopez
- Mary Lenore Low
- Aimee Marie Lutz
- Angela Ruth Macpherson
- Erica Paola Martinez
- Linzi J Michel
- Stephanie Mills
- Karla Daniela Morga
- Moses Lake Community Health Center
All providers in Quincy, WA · General Practice Dentistry in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.