DR. RUSSELL F PARAVECCHIO


Address: 705 136th Pl Ne, Bellevue, WA 98005-4722
Phone: 4256446096

DR. RUSSELL F PARAVECCHIO (NPI# 1144208505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144208505
Entity Type Individual
Full Name DR. RUSSELL F PARAVECCHIO
Credential DMD
Practice Address 705 136th Pl Ne
Bellevue
WA 98005-4722
Mailing Address 705 136th Pl Ne
Bellevue
WA 98005-4712
Practice Telephone 4256446096
Practice Fax Number 4256448115
Mailing Telephone 4256446096
Mailing Fax Number 4256448115
Enumeration Date 2006-01-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
DE00004661 WA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 5047774 05

Office Location

Street Address 705 136TH PL NE
City BELLEVUE
State WA
Zip Code 98005-4722

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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568848463 Yu Ong Dentist 914 140th Ave Ne Ste 101, Bellevue, WA 98005-3482 2015-08-03
1841571254 Lisa Yu Dds PC Dentist 12826 Se 40th Ln Ste 101, Bellevue, WA 98006-5266 2011-08-31
1508012063 Sue Jeong Choi Dentist 5204 Somerset Dr Se, Bellevue, WA 98006-4259 2008-08-14
1922260793 Sookyung Jun Dentist 1500 145th Pl Se, Bellevue, WA 98007-5516 2008-07-01
1568587897 James Michael Thomas Dentist 1200 112th Ave Ne Ste C250, Bellevue, WA 98004-3741 2007-03-19
1427113141 Todd B Krekow Dentist 11102 Ne 38th Pl, Bellevue, WA 98004-7653 2006-12-22
1871662544 Jimmy S Yun Dentist 12600 Se 38th St Ste 110, Bellevue, WA 98006-5232 2006-11-07
1306926449 Jenny Hee-jae Lee Dentist 2150 112 Ave Ne # A, Bellevue, WA 98004-2939 2006-10-16
1497866255 Lawrence E Mast Dds Ps Dentist 2150 112 Ave Ne #a, Bellevue, WA 98004 2006-08-31
1003841347 Alicia K Wong Dentist 914 140th Ave Ne, Suite 101, Bellevue, WA 98005-3482 2006-07-12
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Competitor

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City BELLEVUE
Zip Code 98005

Improve Information

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Dataset Information

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.

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