Ciara Nicole Agee, DDS
Individual provider Active NPI Dentist · Spokane, WA
NPI 1750068136 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1750068136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DE61443779 (WA)
- Practice address
- 6817 N Cedar Rd Ste 101
Spokane, WA 99208-4277 - Phone
- (509) 325-0233
- NPI assigned
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| DE61443779 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Krempasky Smith, DDS, PLLC | Dentist | Past |
Accepting new patients |
| Chet Jenkins PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE61443779 | WA | Yes |
Addresses
Primary practice location
6817 N Cedar Rd Ste 101
Spokane, WA 99208-4277
Mailing address
617 E 22ND Ave
Spokane, WA 99203-2335
Phone (509) 863-8279
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. 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.