OrganizationActive
Shoalwater Bay Indian Tribe
NPI 1003028952 · Dental Clinic/Center · Tokeland, WA
Provider details
- NPI number
- 1003028952
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carol Johnson, Tribal Administrator(360) 267-6766
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2373 Old Tokeland Rd
Tokeland, WA 98590
Phone: (360) 267-8103
Fax: (360) 267-1437
Street-level locationGet directions
Mailing address
Po Box 500
Tokeland, WA 98590-0500
Other names (DBA / former)
- Doing business as
- Shoalwater Bay Tribal Clinic
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.