EVERETT DENTURE CENTER PLLC (NPI# 1174840896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174840896 |
| Entity Type | Organization |
| Organization Name | EVERETT DENTURE CENTER PLLC |
| Practice Address |
4367 Rucker Ave Everett WA 98203-2213 |
| Practice Telephone | 4252592800 |
| Practice Fax Number | 4252592800 |
| Mailing Telephone | 4252592800 |
| Mailing Fax Number | 4252592800 |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |
| Authorized Official Name | MARK CHESLIK (OWNER) |
| Authorized Official Telephone | 4252592800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | DN00000342 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5049812 | 05 |
| Street Address |
4367 RUCKER AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013018027 | Mark Cheslik | Denturist | 4367 Rucker Ave, Everett, WA 98203-2213 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
| Find all providers in zip 98203 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154811982 | Jayson Allen Laney | Denturist | 4001 Colby Ave Ste 2, Everett, WA 98201-6208 | 2018-05-17 |
| 1871040378 | Ephraim Rollolazo Jr. | Denturist | 1111 Pacific Ave Ste A, Everett, WA 98201-4200 | 2016-09-01 |
| 1912085390 | Smile Bright Denture Center LLC | Denturist | 315 E Casino Rd, Suite B, Everett, WA 98208-1846 | 2006-11-01 |
| 1013018027 | Mark Cheslik | Denturist | 4367 Rucker Ave, Everett, WA 98203-2213 | 2006-09-25 |
| 1245795525 | Ruslan Galushkin | Denturist | 1111 Pacific Ave Ste A, Everett, WA 98201-4200 | 2019-01-31 |
| 1194850073 | Dung Q Pham | Denturist | 315 E Casino Rd, Suite B, Everett, WA 98208-1846 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427689421 | Tri-cities Denture Studio Pllc | Denturist | 3909 Creekside Loop Ste 110, Yakima, WA 98902-4880 | 2020-01-29 |
| 1447894811 | Michael Hu | Denturist | 430 N West Ave Ste 3, Arlington, WA 98223-1539 | 2019-10-29 |
| 1265999494 | Sagebrush Dental LLC | Denturist | 1114 N Mission St Ste C, Wenatchee, WA 98801-6711 | 2019-02-24 |
| 1295299113 | Stephanie Jean Hemenway | Denturist | 209 W Main Ave., Morton, WA 98356 | 2019-01-24 |
| 1538633664 | Trang Phung | Denturist | 1242 State Ave Ste G, Marysville, WA 98270-3672 | 2019-01-11 |
| 1053884338 | Juan Edward Berlanga | Denturist | 654 N Rochester St, Tacoma, WA 98406-1724 | 2019-01-09 |
| 1346713765 | Cody M Dunivin | Denturist | 129 Valley Meadows Dr, Chehalis, WA 98532-8652 | 2019-01-08 |
| 1841765682 | Andrew Payne | Denturist | 714 N Chelan Ave, Wenatchee, WA 98801-2069 | 2018-10-08 |
| 1932697117 | Jason Lee Alsbury | Denturist | 1715 W Kennewick Ave, Kennewick, WA 99336-3378 | 2018-04-24 |
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| 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.