SE WON AN (NPI# 1285233023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285233023 |
| Entity Type | Individual |
| Full Name | SE WON AN |
| Credential | DDS |
| Practice Address |
7311 Ne 141st St Ste 2 Kirkland WA 98034-9703 |
| Mailing Address |
17210 94th Pl Ne Bothell WA 98011-3922 |
| Practice Telephone | 4258234343 |
| Mailing Telephone | 2063848235 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE61092968 | WA | Dental Providers |
| Street Address |
7311 NE 141ST ST STE 2 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-9703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| 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 |
|---|---|---|---|---|
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1386209047 | Gile & Butani Pllc | Dentist | 12911 120th Ave Ne Ste D50, Kirkland, WA 98034-3007 | 2019-05-07 |
| 1710357850 | May Yeh Huang | Dentist | 11800 Ne 128th St Ste 440, Kirkland, WA 98034-7299 | 2015-10-01 |
| 1609253186 | Jeffrey Parrish | Dentist | 4415 102nd Ln Ne, Kirkland, WA 98033-7644 | 2015-05-04 |
| 1700290798 | Kirkland Premier Dentistry LLC | Dentist | 10601 Ne 68th St, Kirkland, WA 98033-7054 | 2014-06-17 |
| 1164785051 | Alexandra D Cristescu | Dentist | 4327 Lake Washington Blvd Ne, #6110, Kirkland, WA 98033-7886 | 2012-06-17 |
| 1669797411 | Aditi Agarwal | Dentist | 12037 Ne 70th St, Kirkland, WA 98033-8442 | 2010-04-06 |
| 1285968206 | Andrew Young | Dentist | 9119 130th Ave Ne, Kirkland, WA 98033-5923 | 2009-09-23 |
| 1063619880 | Ann Tran-dilay | Dentist | 12817 120th Ave Ne Ste B, Kirkland, WA 98034-3001 | 2007-06-27 |
| 1538373329 | Gerald Joseph Campo | Dentist | 13611 100th Ave Ne, Kirkland, WA 98034-5234 | 2007-05-10 |
| Find all providers in KIRKLAND | ||||
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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.