MAHADEEP VIRK, DMD-BREMERTON PS (NPI# 1154537280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154537280 |
| Entity Type | Organization |
| Organization Name | MAHADEEP VIRK, DMD-BREMERTON PS |
| Other Organization Name | AVENUE DENTAL CARE - BREMERTON |
| Practice Address |
2741 Wheaton Way Suite B Bremerton WA 98310-3344 |
| Practice Telephone | 3607920300 |
| Practice Fax Number | 3607920302 |
| Mailing Telephone | 3607920300 |
| Mailing Fax Number | 3607920302 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-12-07 |
| Authorized Official Name | DR. MAHADEEP S VIRK (PRESIDENT) |
| Authorized Official Telephone | 3607920300 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Avenue Dental Care - Bremerton | Doing Business As Name - Organization |
| Street Address |
2741 WHEATON WAY SUITE B |
| City | BREMERTON |
| State | WA |
| Zip Code | 98310-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538227939 | Amado Katigbak Jr. | Internal Medicine | 2741 Wheaton Way, Suite A, Bremerton, WA 98310-3344 | 2006-12-05 |
| 1730470832 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 2741 Wheaton Way, Suite A, Bremerton, WA 98310-3344 | 2011-04-22 |
| 1558568220 | Ian G. Becke | Internal Medicine | 2741 Wheaton Way, Suite A, Bremerton, WA 98310-3344 | 2007-06-27 |
| 1366582710 | Michael J Gannon | Internal Medicine | 2741 Wheaton Way, Bremerton, WA 98310-3344 | 2007-02-07 |
| 1710030887 | Michael S. Mcmanus | Preventive Medicine | 2741 Wheaton Way, Bremerton, WA 98310-3344 | 2007-01-19 |
| 1124170352 | Dmitry Tsimberov | Internal Medicine | 2741 Wheaton Way, Bremerton, WA 98310-3344 | 2007-01-17 |
| 1255498507 | Laurence M. Brostoff | Internal Medicine | 2741 Wheaton Way, Bremerton, WA 98310-3344 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333613 | Miss Mary Community Development | Voluntary or Charitable | 1630 Trenton Avenue Apt 10, Bremerton, WA 98310 | 2019-12-11 |
| 1629636055 | Puget Sound Work Injury Clinic, LLC | Clinic/Center | 812 Cherry Ct, Bremerton, WA 98310 | 2019-05-31 |
| 1538672530 | Rachel E Mittelstaedt Parsons | Dietitian, Registered | 3059 Viewcrest Dr Ne, Bremerton, WA 98310 | 2017-11-13 |
| 1356888937 | Sarah Hike | Community Health Worker | 900 Sheridan, Bremerton, WA 98310 | 2017-01-20 |
| 1073941142 | Hana Singer | Physical Therapy Assistant | 3600 Forest Dr Ne, Bremerton, WA 98310 | 2013-10-28 |
| 1447508122 | Kevin Lee Hathaway | Mechanotherapist | 3308 Veska Avenue, Bremerton, WA 98310 | 2012-08-28 |
| 1003163007 | James Hyun Soo Lee | Surgery | Cvn 76 Uss Ronald Reagan, Bremerton, WA 98310 | 2012-08-08 |
| 1487936241 | Karen S Casseday | Nurse Practitioner | 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 | 2011-09-16 |
| 1740560572 | Lauren P Foresman | Physician Assistant | 2709 Hemlock Street, Bremerton, WA 98310 | 2011-08-24 |
| 1538390059 | Patricia L Rushon | Speech-Language Pathologist | 560 Lebo Blvd., Bremerton, WA 98310 | 2009-07-31 |
| Find all providers in zip 98310 | ||||
| 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 |
|---|---|---|---|---|
| 1659792265 | Allan L Hablutzel | Dentist | 820 Pacific Ave., Suite 204, Bremerton, WA 98337 | 2013-12-27 |
| 1225150246 | Peter Anthony Ruff | Dentist | 629 Ne Riddell Rd Ste B, Bremerton, WA 98310-3028 | 2007-04-03 |
| 1053446435 | Larry K Heggerness | Dentist | 4110 Kitsap Way Ste 100, Bremerton, WA 98312-2401 | 2007-02-23 |
| 1740349687 | Hamidreza Barakhshan | Dentist | 4207 Wheaton Way, Suite C, Bremerton, WA 98310-3605 | 2006-12-06 |
| 1386711893 | Robert Bruce Robinson | Dentist | 5011 May St Nw, Bremerton, WA 98311-2342 | 2006-11-29 |
| 1346330644 | Patricia Joleen Weiss | Dentist | 3421 Kitsap Way, Ste F, Bremerton, WA 98312-2601 | 2006-10-15 |
| 1023123726 | Dr Allan Hablutzel | Dentist | 820 Pacific Ave, Ste 204, Bremerton, WA 98337 | 2006-08-20 |
| 1023049772 | Brian R Bowman | Dentist | 2554 Perry Ave, Bremerton, WA 98310-5219 | 2006-07-05 |
| 1962451948 | Terry A Schaap | Dentist | 2135 6th St, Bremerton, WA 98312-3957 | 2006-05-08 |
| 1720042765 | David W Kidd | Dentist | 1 Boone Rd # Code048, Bremerton, WA 98312-1894 | 2006-04-14 |
| Find all providers in BREMERTON | ||||
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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.