LAURELHURST FAMILY DENTISTRY (NPI# 1588129159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588129159 |
Entity Type | Organization |
Organization Name | LAURELHURST FAMILY DENTISTRY |
Practice Address |
3216 Ne 45th Pl Ste 302 Seattle WA 98105-4028 |
Practice Telephone | 2064560550 |
Mailing Telephone | 2064560550 |
Enumeration Date | 2019-02-07 |
Last Update Date | 2019-02-07 |
Authorized Official Name | CHELSEA D MORTELL (DENTIST/ OWNER) |
Authorized Official Telephone | 2064560550 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NA | NA | 01 |
Other Name | Type Code |
---|---|
Laurelhurst Family Dentistry | Doing Business As Name - Organization |
Street Address |
3216 NE 45TH PL STE 302 |
City | SEATTLE |
State | WA |
Zip Code | 98105-4028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447633987 | Wilma Shen | Dentist | 3216 Ne 45th Pl Ste 302, Seattle, WA 98105-4028 | 2015-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
Find all providers in zip 98105 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
1023637725 | Urban Dental Group | Clinic/Center | 6800 Greenwood Ave N Unit A, Seattle, WA 98103-5228 | 2020-04-13 |
1285260067 | Sonia Kim Takasaki Dmd Pllc | Clinic/Center | 9730 3rd Ave Ne Ste 204, Seattle, WA 98115-2023 | 2020-03-12 |
1396396339 | Megan K. Burns, Dds, Pllc | Clinic/Center | 8757 Holman Rd Nw, Seattle, WA 98117-3464 | 2019-09-20 |
1275198285 | Hsu Tsuchikawa and Wong Pllc | Clinic/Center | 1453 Nw 54th Street, Suite A, Seattle, WA 98107 | 2019-05-06 |
1881189322 | Ahdut Bean Pllc | Clinic/Center | 4219 S Othello St Ste 105d, Seattle, WA 98118-3873 | 2018-06-27 |
1154825321 | Aboulhosn and Valentine Pllc | Clinic/Center | 2815 2nd Ave Ste 101, Seattle, WA 98121-1262 | 2018-03-21 |
1184135881 | Revive Smiles Dentistry, LLC | Clinic/Center | 259 Yale Ave N, Seattle, WA 98109-5430 | 2017-10-20 |
1619497872 | Julia R Moritis Dds Pllc | Clinic/Center | 509 Olive Way Ste 1520, Seattle, WA 98101-1700 | 2017-06-20 |
1407382211 | Yen H. Nguyen-tran Dds, Pllc | Clinic/Center | 810 Martin Luther King Jr Way, Seattle, WA 98122-5046 | 2017-05-11 |
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.