WASHINGTON DENTAL CORPORATION, PC (NPI# 1417384348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417384348 |
| Entity Type | Organization |
| Organization Name | WASHINGTON DENTAL CORPORATION, PC |
| Other Organization Name | PUYALLUP SMILES DENTISTRY |
| Practice Address |
16810 Meridian East Suite J107 Puyallup WA 98375 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 2538487777 |
| Practice Fax Number | 2538487783 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |
| Authorized Official Name | DR. BRIAN S BIENSTOCK (OWNER) |
| Authorized Official Telephone | 2538487777 |
| Authorized Official Credential | D.D.S. |
| 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 |
|---|---|
| Puyallup Smiles Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1295371128 | Washington Dental Corporation, PC | Dentist | 732 Shaw Rd Ste B, Puyallup, WA 98372-5276 | 2019-11-26 |
| 1457902595 | Washington Dental Corporation, PC | Dentist | 2235 148th Ave Ne, Bellevue, WA 98007-3726 | 2019-09-20 |
| 1386299428 | Washington Dental Corporation, PC | Dentist | 12502 Mukilteo Speedway, Mukilteo, WA 98275-5730 | 2019-08-06 |
| 1679127922 | Washington Dental Corporation, PC | Dentist | 7084 Lakeland Hills Way, Suite 104, Auburn, WA 98092 | 2019-07-25 |
| 1255894176 | Washington Dental Corporation, PC | Dentist | 2729 N Pearl St, Tacoma, WA 98407 | 2019-04-08 |
| 1891258711 | Washington Dental Corporation, PC | Dentist | 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 | 2019-04-08 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1124510276 | Washington Dental Corporation, PC | Dentist | 27237 172nd Ave Se Ste 105a, Covington, WA 98042-7352 | 2018-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WASHINGTON DENTAL CORPORATION, PC | 17000 Red Hill Ave, Irvine, CA 92614-5626 |
| Oregon Corporations, Companies and Business Names | WASHINGTON DENTAL CORPORATION, PC | 17000 Red Hill Ave, Irvine, CA 92614 |
| Street Address |
16810 MERIDIAN EAST SUITE J107 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673817 | Cheryl Dann | Registered Nurse | 7224 Pacific Highway E, Milton, WA 98375 | 2019-11-07 |
| 1326554601 | Jasmanpreet Kaur Sidhu | Nurse's Aide | 17003 83rd Ave Cte, Puyallup, WA 98375 | 2017-12-21 |
| 1295257137 | Rafael Martin Morones IIi | Registered Nurse | 17802 87th Ave E, Puyallup, WA 98375 | 2017-07-12 |
| 1467990556 | Tessa D Parker | Massage Therapist | 17528 Meridian E Suite 207, Puyallup, WA 98375 | 2017-02-08 |
| 1144674326 | June Park | Social Worker | 9414 185th Street Ct E, Puyallup, WA 98375 | 2016-04-14 |
| 1861825663 | L&t Chinese Medicine LLC | Acupuncturist | 16515 Meridian E., Ste. 200b, Puyallup, WA 98375 | 2013-08-15 |
| 1508110081 | Jennifer Gillings | Speech-Language Pathologist | 17418 74th Ave E, Puyallup, WA 98375 | 2012-11-05 |
| 1275887267 | Andrew Nelson Smith | Pharmacist | 14308 Meridian Ave E., Puyallup, WA 98375 | 2012-10-30 |
| 1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
| 1295042026 | Jessica J Lindbo | Massage Therapist | 16515 Meridian Ave E Suite 103b, Puyallup, WA 98375 | 2010-08-31 |
| Find all providers in zip 98375 | ||||
| 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 |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1083269682 | Breinn Ashley Bertrand | Dentist | 13613 Meridian E Ste 180, Puyallup, WA 98373-3664 | 2019-08-09 |
| 1164919981 | Puyallup Park Dental | Dentist | 13909 Meridian E Ste A1, Puyallup, WA 98373-9180 | 2018-04-17 |
| 1033614276 | Violeta Atanasova Stoyanova | Dentist | 12005 Meridian E Ste 102, Puyallup, WA 98373-3423 | 2018-03-29 |
| 1013367150 | Gibran Hyder | Dentist | 8012 112th Street Ct E Ste 320, Puyallup, WA 98373-7856 | 2016-06-20 |
| 1083076996 | D.l. Vanderschelden, Dds, PC | Dentist | 18710 Meridian E Ste 216, Puyallup, WA 98375-2231 | 2016-03-22 |
| 1558786145 | Abedi Advanced Family Dentistry Pllc | Dentist | 803 39th Ave Sw Ste E, Puyallup, WA 98373-3692 | 2014-02-19 |
| 1598041535 | Han & Nigam Dmd Pllc | Dentist | 2321 Meridian St S, Puyallup, WA 98373-1554 | 2011-10-21 |
| 1871880344 | Brian E Liljas | Dentist | 421 W Pioneer, Puyallup, WA 98371-5367 | 2011-07-06 |
| Find all providers in PUYALLUP | ||||
Please comment or provide details below to improve the information on WASHINGTON DENTAL CORPORATION, PC.
| 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.