Organization · Type 2 NPI

State of Wa, Dept. of Social and Health Svs.

Dentist · Shoreline, WA

NPI number 1467594465 Active

Practice location

15230 15th Ave NE
Shoreline, WA 98155-7130

Mailing address

3540 Lake Washington Blvd SE, #211
Bellevue, WA 98006-1105

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDE00009387 (WA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1467594465

State of Wa, Dept. of Social and Health Svs.'s National Provider Identifier is 1467594465, issued on Feb 13, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Shoreline, WA. The record was last updated on Aug 22, 2020.