DR. GAIL Y. PETTIS (NPI# 1275824872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275824872 |
| Entity Type | Individual |
| Full Name | DR. GAIL Y. PETTIS |
| Credential | DDS, MMED.SC. |
| Practice Address |
10564 5th Ave Ne #205 Seattle WA 98125-7200 |
| Mailing Address |
Po Box 1405 Mercer Island WA 98040-1405 |
| Practice Telephone | 2063511122 |
| Mailing Telephone | 4258303255 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE00007559 | WA | Dental Providers |
| Street Address |
10564 5TH AVE NE #205 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98125-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639117393 | Gandis Mazeika | Clinic/Center | 10564 5th Ave Ne, Ste 205, Seattle, WA 98125-7200 | 2006-06-03 |
| 1104303791 | Pnw Audiology Specialty Group Pllc | Audiologist | 10564 5th Ave Ne, Seattle, WA 98125 | 2018-07-26 |
| 1790133122 | Washington Therapy Group, Inc. | Occupational Therapist | 10564 5th Ave Ne, Suite 402, Seattle, WA 98125-7200 | 2016-05-26 |
| 1184020307 | Usa Vein Clinics of Seattle, Pllc | Surgery | 10564 5th Ave Ne, Suite 102, Seattle, WA 98125-7200 | 2014-11-16 |
| 1548674617 | Steven E Schumann | Counselor | 10564 5th Ave Ne, Suite 301, Seattle, WA 98125-7200 | 2014-06-17 |
| 1164845178 | The Shamrock Group, Inc. | Community/Behavioral Health | 10564 5th Ave Ne, Suite 301, Seattle, WA 98125-7200 | 2014-01-27 |
| 1629406632 | Flat Rock Health Seattle Medical Associates | Family Medicine | 10564 5th Ave Ne, Suite 402, Seattle, WA 98125-7200 | 2013-10-30 |
| 1356785786 | Jessica Carol Rhodes | Counselor | 10564 5th Ave Ne, Suite 406, Seattle, WA 98125-7200 | 2013-04-29 |
| 1467745026 | A & A Hearing Group, Ps | Audiologist | 10564 5th Ave Ne, Suite 203, Seattle, WA 98125-7200 | 2011-05-16 |
| 1144538463 | Melanie Lynn Hecker | Audiologist | 10564 5th Ave Ne, Seattle, WA 98125-7200 | 2010-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771494 | Erin Renee Blood | Behavior Technician | 14301 30th Ave Ne, Seattle, WA 98125 | 2019-10-09 |
| 1023587912 | Ami Tsuchiya | Physical Therapist | 2611 Ne 125th St, Suite 90, Seattle, WA 98125 | 2018-11-20 |
| 1730603556 | Lauren Morgan | Counselor | 10125 Lake City Way Ne, Seattle, WA 98125 | 2017-08-02 |
| 1427572353 | Beverly Ann Williamson | Counselor | Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 | 2017-08-02 |
| 1902320229 | Lillian Marilynanne Olin | Nurse's Aide | 12728 28th Ave Ne Apt 510, Seattle, WA 98125 | 2017-07-28 |
| 1760913743 | Ariel Alon | Counselor | 13325 31st Ave Ne, Seattle, WA 98125 | 2017-03-22 |
| 1154872380 | Jean Hung | Naturopath | 12317 15th Ave Ne Suite #103, Seattle, WA 98125 | 2016-10-24 |
| 1063806438 | Hope Health Senior Care | Clinic/Center | 507ne Northgate Way, Suite #441, Seattle, WA 98125 | 2015-03-24 |
| 1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
| 1033548177 | George Ray Coleman | Naturopath | 12520 26th Ave Ne, Unit B, Seattle, WA 98125 | 2013-11-08 |
| Find all providers in zip 98125 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736028 | Ibraheem M Al Naqshabandy | Dentist | 4747 30th Ave Ne Apt K174, Seattle, WA 98105-4032 | 2020-09-25 |
| 1922614890 | Vicky Herrera | Dentist | 10720 5th Ave Ne Apt 605, Seattle, WA 98125-7258 | 2020-09-16 |
| 1972112514 | Victoria Chang | Dentist | 4437 41st Ave Sw Unit A, Seattle, WA 98116-4218 | 2020-07-29 |
| 1952930281 | Luke Robert Taylor | Dentist | 1959 Ne Pacific Street Hsb Room B241, Seattle, WA 98195-0001 | 2020-04-07 |
| 1700414372 | Morgan Fannon | Dentist | 1959 Ne Pacific Street Hsb# B241, Seattle, WA 98195-0001 | 2020-03-30 |
| 1467089318 | Parham A Tabar | Dentist | 1959 Ne Pacific Street Hsb # B241, Seattle, WA 98195-0001 | 2020-03-23 |
| 1447882725 | Banner Dental | Dentist | 8540 1st Ave Nw Ste. 8, Seattle, WA 98117 | 2020-02-05 |
| 1043872203 | Teja Kotresh Neral | Dentist | 509 Olive Way Ste 1230, Seattle, WA 98101-1745 | 2019-07-08 |
| 1285295022 | Fadi Shaya | Dentist | 4700 42nd Ave Sw Ste 530, Seattle, WA 98116-4561 | 2019-06-24 |
| 1356803662 | Sarah Baik | Dentist | 424 19th Ave E Apt 101, Seattle, WA 98112-5350 | 2019-04-04 |
| Find all providers in SEATTLE | ||||
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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.