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WASHINGTON DENTAL CORPORATION PC NPI 1609259019


NPI Information

NPI: 1609259019
Provider Name: WASHINGTON DENTAL CORPORATION, PC

Doing Business As: MAPLE VALLEY MODERN DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
26555 MAPLE VALLEY BLACK DIAMOND RD SE
SUITE L100
MAPLE VALLEY, WA
ZIP 98038
Phone: (425) 906-9119
Get Directions

WASHINGTON DENTAL CORPORATION, PC is a general practice dentist in Maple Valley, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WASHINGTON DENTAL CORPORATION, PC NPI is 1609259019. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Maple Valley Modern Dentistry.

The provider's business location address is:

26555 MAPLE VALLEY BLACK DIAMOND RD SE
SUITE L100
MAPLE VALLEY, WA
ZIP 98038-478
Phone: (425) 906-9119
Fax: (425) 906-9120

The provider's authorized official is William J Mcglashan .
The authorized official title is Owner and has the following contact phone number (425) 906-9119.

The enumeration date for this NPI number is 7/2/2015 and was last updated on 7/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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