DR. SOFIA D. PETROV (NPI# 1285703702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285703702 |
| Entity Type | Individual |
| Full Name | DR. SOFIA D. PETROV |
| Credential | D.D.S., M.S.D. |
| Practice Address |
27081 185th Ave Se Suite B-105 Covington WA 98042-8448 |
| Practice Telephone | 2539814950 |
| Practice Fax Number | 2539814952 |
| Mailing Telephone | 2539814950 |
| Mailing Fax Number | 2539814952 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2013-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DE00008728 | WA | Dental Providers |
| Street Address |
27081 185TH AVE SE SUITE B-105 |
| City | COVINGTON |
| State | WA |
| Zip Code | 98042-8448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225581176 | Ryan Hanks | Dentist | 27081 185th Ave Se, B105, Covington, WA 98042-8448 | 2016-07-27 |
| 1437370582 | Amanda Jackson | Dentist | 27081 185th Ave Se, Ste B105, Covington, WA 98042-8448 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
| 1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
| 1104281526 | Kimberly Destefano | Licensed Practical Nurse | 27446 151st Pl Se, Kent, WA 98042 | 2015-12-30 |
| 1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
| 1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
| 1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
| Find all providers in zip 98042 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386842995 | Caesar Sweidan | Dentist | 5024 Keystone Blvd Ste A, Covington, LA 70433-7517 | 2007-07-05 |
| 1073738985 | James E Fagan | Dentist | 2301 N Hwy 190, Suite #1, Covington, LA 70433 | 2007-04-16 |
| 1396356937 | Maryam Habibzadeh | Dentist | 5024 Keystone Blvd Ste A, Covington, LA 70433-7517 | 2020-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653397 | Rika Takada | Dentist | B403 Health Sciences Building, Seattle, WA 98195-0001 | 2020-06-14 |
| 1467074757 | Amit Srikant Gharpure | Dentist | 1959 Ne Pacific Street Health Science Center Room B-403, Seattle, WA 98195-0001 | 2020-05-10 |
| 1922632843 | Jessica Hsu | Dentist | 625 4th Ave Ste 201, Kirkland, WA 98033-9028 | 2020-02-29 |
| 1992338891 | Ehsan Zahedi | Dentist | 18009 Highway 99 Ste F, Lynnwood, WA 98037-4499 | 2020-02-19 |
| 1780142729 | Shoko Sato | Dentist | 2505 S 320th St Ste 330, Federal Way, WA 98003-5461 | 2019-03-08 |
| 1942738497 | Yu Lwo | Dentist | 1740 Nw Maple St Ste 110, Issaquah, WA 98027-8000 | 2017-05-30 |
| 1134677792 | Mill Creek Implants & Periodontics | Dentist | 15130 Main St Ste 210, Mill Creek, WA 98012-7370 | 2016-09-13 |
| 1164890026 | Shih-chung Liao | Dentist | 720 Olive Way Ste 810, Seattle, WA 98101-1836 | 2015-09-09 |
| 1225445539 | Implant & Periodontic Specialists | Dentist | 1418 112th Ave Ne Suite 100, Bellevue, WA 98004 | 2014-07-18 |
| 1093147068 | Etheridge Family Dentistry | Dentist | 3130 E Madison St Ste 103, Seattle, WA 98112-4221 | 2013-08-01 |
| 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.