Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kalispel Tribe of Indians

Organization Dentist · NPI 1083980080

Kalispel Tribe of Indians provides Dentist services in Cusick, Washington. Licensed in Washington. Registered with an NPI since 2012.

Licensed in
WA
In the registry since
2012

Practice location Address checks out

1821 Leclerc Rd N Ste 1
Cusick, WA 99119-5015
Phone: (509) 447-7111
Fax: (509) 445-1152
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE00009801 (WA)

Record details

NPI number1083980080
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Birdtail — Am · (509) 447-7112
Other names Camas Center Dental Clinic; Camas Center Dental Clinic
NPI enumeratedMarch 24, 2012
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023
Mailing addressPo Box 67, Usk, WA 99180-0067