ACCESS DENTAL LLC (NPI# 1114439452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114439452 |
| Entity Type | Organization |
| Organization Name | ACCESS DENTAL LLC |
| Other Organization Name | ACCESS DENTAL |
| Practice Address |
2417 Pacific Ave Se Ste A Olympia WA 98501-2052 |
| Practice Telephone | 3608788002 |
| Practice Fax Number | 3608788186 |
| Mailing Telephone | 3608788002 |
| Mailing Fax Number | 3608788186 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | DR. YONG PARK (DENTIST) |
| Authorized Official Telephone | 3608788002 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| ACCESS DENTAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790031623 | Access Dental LLC | Dentist | 340 Commons Dr, Parkesburg, PA 19365-2154 | 2012-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ACCESS DENTAL LLC | 2417 Pacific Ave Se #a, Olympia, WA 98501 |
| Street Address |
2417 PACIFIC AVE SE STE A |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366924144 | Henry Rok Kim | Dentist | 2417 Pacific Ave Se Ste A, Olympia, WA 98501-2052 | 2018-08-29 |
| 1962916981 | Wen Jia Li | Dentist | 2417 Pacific Ave Se Ste A, Olympia, WA 98501-2052 | 2017-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770120792 | Ann Patrice Sabatino | Dentist | 423 38th Ave Ne, Olympia, WA 98506-2417 | 2019-12-09 |
| 1003331331 | Jj Dental LLC | Dentist | 2417 Pacific Ave Se # 1a, Olympia, WA 98501-2052 | 2017-08-08 |
| 1114393360 | Trent Miner | Dentist | 2728 Westmoor Ct Sw, Olympia, WA 98502-5779 | 2015-08-11 |
| 1659712669 | Daniel Michael Walsh | Dentist | 3773c Martin Way E, Olympia, WA 98506-5062 | 2013-07-08 |
| 1154766228 | Nurani, Mitchell, Kim, PC | Dentist | 1530 Black Lake Blvd Sw Ste A103, Olympia, WA 98502-5612 | 2013-05-02 |
| 1205193786 | Lilly Road Family Dentistry | Dentist | 220 Lilly Rd Ne Ste B, Olympia, WA 98506-6101 | 2012-04-20 |
| 1124307590 | Leah Olson | Dentist | 1800 Cooper Point Rd Sw Ste 23, Olympia, WA 98502-1179 | 2011-08-16 |
| 1861717654 | Oda, LLC | Dentist | 2728 Westmoor Ct Sw Ste C, Olympia, WA 98502-5779 | 2010-04-05 |
| 1396079141 | David Charles Goerig | Dentist | 408 Lilly Rd Ne Ste A, Olympia, WA 98506-6954 | 2009-09-28 |
| 1902056260 | Garret Masaichi Yamaguchi | Dentist | 108 22nd Ave Sw Ste 24, Olympia, WA 98501-2871 | 2008-09-23 |
| Find all providers in OLYMPIA | ||||
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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.