Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kalispel Tribe of Indians

Organization Dentist · NPI 1083980080

Kalispel Tribe of Indians is a Dentist 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