IndividualActive
Alisha Neloms
NPI 1104568328 · Dental Clinic/Center · Fort Lewis, WA
Provider details
- NPI number
- 1104568328
- Entity type
- Individual
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
9119 Mil Park Ave
Fort Lewis, WA 98433
Phone: (253) 966-9960
Approximate (ZIP-level) locationGet directions
Mailing address
Fulton Dental Clinic
Jblm, WA 98433
Registry dates
- Enumerated
- 2022-04-08
- Last updated
- 2022-04-08
- Certified
- 2022-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.