DR. SILAS DICKENSON DUDLEY (NPI# 1619248820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619248820 |
| Entity Type | Individual |
| Full Name | DR. SILAS DICKENSON DUDLEY |
| Credential | DDS, MSD |
| Practice Address |
2520 Ne Park Dr Suite C Issaquah WA 98029 |
| Practice Telephone | 4259960457 |
| Practice Fax Number | 4259960472 |
| Mailing Telephone | 4259960457 |
| Mailing Fax Number | 4259960472 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
60231571 | WA | Dental Providers |
| Street Address |
2520 NE PARK DR SUITE C |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| 1093030843 | Surgical Assisting Services Rnfa | Nursing Care | 1945 16th Lane Ne, Issaquah, WA 98029 | 2010-04-05 |
| Find all providers in zip 98029 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912114109 | Erin Mackay Tingey | Dentist | 22530 Se 64th Pl Ste 230, Issaquah, WA 98027-5353 | 2007-05-17 |
| 1205906203 | Padmaraj (raj) V. Angolkar | Dentist | 505 E Sunset Way, Issaquah, WA 98027-3438 | 2006-11-08 |
| 1730190497 | Nadine Egger | Dentist | 22530 Se 64th Pl Ste 130, Issaquah, WA 98027-5353 | 2006-08-10 |
| 1437159084 | Michael H Hawkins | Dentist | 4540 Klahanie Dr Se, Issaquah, WA 98029-5812 | 2005-07-26 |
| 1013210939 | Tripti Pawar | Dentist | 505 E Sunset Way, Issaquah, WA 98027-3438 | 2010-12-15 |
| 1326249731 | Padmaraj V. Angolkar D.d.s., M.d.s. | Dentist | 505 E Sunset Way, Issaquah, WA 98027-3438 | 2007-05-31 |
| 1417084815 | Christian Paul Manley | Dentist | 710 Nw Juniper St, Suite 202, Issaquah, WA 98027-2717 | 2007-02-27 |
| 1770618670 | Glenn J. Yorita | Dentist | 465 Rainier Blvd N, Suite B, Issaquah, WA 98027-2826 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539301 | Jack Hou & Kortne Frederick Hou PC | Dentist | 22603 Ne Inglewood Hill Rd Ste 200, Sammamish, WA 98074-7105 | 2020-08-19 |
| 1629686175 | Paul S. Kahlon, Pllc | Dentist | 13209 44th Ave Se Ste 102, Mill Creek, WA 98012-8985 | 2020-07-21 |
| 1457975948 | Hurst and Shannon Pllc | Dentist | 400 Pine St Ste 2017, Seattle, WA 98101-3625 | 2020-06-01 |
| 1043840200 | Kjeld Aamodt PC | Dentist | 500 108th Ave Ne Ste 1710, Bellevue, WA 98004-5598 | 2020-01-16 |
| 1861040800 | Jack Hou & Kortne Frederick Hou PC | Dentist | 451 Duvall Ave Ne Ste 230, Renton, WA 98059-4675 | 2019-09-03 |
| 1972165942 | Claire Kuo Pllc | Dentist | 4300 Talbot Rd S Ste 401, Renton, WA 98055-6238 | 2019-06-30 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1699331363 | Chet Jenkins PC | Dentist | Pioneer Specialty Services, 110 W Yakima Valley Hwy, Sunnyside, WA 98944-1352 | 2019-05-17 |
| 1578025946 | Samuel Finkleman | Dentist | 411 Strander Blvd Ste 104, Tukwila, WA 98188-2924 | 2019-04-03 |
| 1891250429 | Daniel Lee, Dds, and Christina Lee, Dds, Ms, Pllc | Dentist | 2911 2nd Ave, Suite 106, Seattle, WA 98121-3065 | 2019-02-07 |
| 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.