NORTHWEST SMILE DENTAL AND DENTURE (NPI# 1083168512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083168512 |
| Entity Type | Organization |
| Organization Name | NORTHWEST SMILE DENTAL AND DENTURE |
| Practice Address |
7233 Martin Way E Olympia WA 98516-5534 |
| Practice Telephone | 3604890991 |
| Practice Fax Number | 3609156214 |
| Mailing Telephone | 3604890991 |
| Mailing Fax Number | 3609156214 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Authorized Official Name | MRS. YOUNI CHO BEALE (DENTURIST) |
| Authorized Official Telephone | 3604890991 |
| Authorized Official Credential | D.P.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
604003708 | WA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NORTHWEST SMILE DENTAL AND DENTURE INC | 7233 Martin Way E, Olympia, WA 98516-5534 |
| Street Address |
7233 MARTIN WAY E |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98516-5534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265080162 | Archer Reed LLC | Clinic/Center | 625 Black Lake Blvd Sw Ste 237, Olympia, WA 98502-8605 | 2019-09-03 |
| 1801373683 | South Sound Family Dentistry | Clinic/Center | 703 Lilly Rd Ne, Olympia, WA 98506-5191 | 2018-07-24 |
| 1841619061 | Rodger A. Lawton, Dmd, Ps | Clinic/Center | 3425 Ensign Rd Ne, Suite 210, Olympia, WA 98506-5425 | 2014-04-15 |
| 1043586019 | Dr. Theresa E. Madden & Associates, Pllc | Clinic/Center | 304 W Bay Dr Nw, Suite 201, Olympia, WA 98502-4953 | 2012-03-23 |
| 1982918983 | Colby J Cockrell Dmd Pllc | Clinic/Center | 504 Union Ave Se, Olympia, WA 98501-1429 | 2010-08-02 |
| 1588989651 | Dr. S. Bath, D.m.d., Ps | Clinic/Center | 205 Lilly Rd Ne, Bldg C, Olympia, WA 98506-5069 | 2010-04-01 |
| 1346578309 | Olympia Dental Center | Clinic/Center | 2705 Limited Ln Nw Ste B, Olympia, WA 98502-6504 | 2009-12-02 |
| 1538379417 | R Graham Mcentire Dds | Clinic/Center | 3622 Ensign Rd Ne, Suite D, Olympia, WA 98506-5081 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700671 | K.lee, Dds, Pllc. | Clinic/Center | 20709 Mountain Hwy E # 102, Spanaway, WA 98387-8580 | 2020-11-06 |
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1356942684 | Healthy Smiles Northwest | Clinic/Center | 11808 18th St Se, Lake Stevens, WA 98258-2046 | 2020-11-03 |
| 1306446240 | Christine A Woodward, Dds, Pllc | Clinic/Center | 45860 Main St, Concrete, WA 98237 | 2020-10-29 |
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1174121792 | Evolve Dental LLC | Clinic/Center | 4410 194th St Sw Ste A, Lynnwood, WA 98036-5598 | 2020-10-15 |
| 1326646035 | Natasha Habib Dds Ps | Clinic/Center | 1025 153rd St Se Ste 103, Mill Creek, WA 98012-4051 | 2020-10-14 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1164039731 | Consolidated Dental Three | Clinic/Center | 19221 108th Ave Se Ste 2, Renton, WA 98055-7369 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.