DR. DAVID ROBERT MULLIN (NPI# 1659386100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659386100 |
| Entity Type | Individual |
| Full Name | DR. DAVID ROBERT MULLIN |
| Credential | D.D.S. |
| Practice Address |
8801 Randall Dr Nw Gig Harbor WA 98332-2107 |
| Practice Telephone | 4156861020 |
| Mailing Telephone | 4156861020 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
DE60433577 | WA | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
26776 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AETNA | 005891412 | 01 |
| CA | UNITED CONCORDIA | 000125772 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942212451 | David Thomas Mullin | Chiropractor | 1266 E Republic Rd, Springfield, MO 65804-7209 | 2006-08-13 |
| 1164475364 | David M Mullin | Radiology | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2006-05-18 |
| 1093789687 | David Philip Mullin | Otolaryngology | 34800 Bob Wilson Dr, Nmcsd,attn: Medical Staff Services, San Diego, CA 92134-1098 | 2006-02-13 |
| Street Address |
8801 RANDALL DR NW |
| City | GIG HARBOR |
| State | WA |
| Zip Code | 98332-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584125 | William Edmondson Wells | Counselor | Wccw, 9601 Bujacick Rd. Nw, Gig Harbor, WA 98332 | 2018-10-17 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1205252046 | Jenny Wical | Registered Nurse | 12201 Osprey Dr. Nw, Gig Harbor, WA 98332 | 2014-03-17 |
| 1134486616 | Jacinda Leigh Pickett | Pharmacist | 10990 Harbor Hill Dr, Gig Harbor, WA 98332 | 2012-04-20 |
| 1114242898 | Michael Robert Conger | Urology | 9704 Woodworth Ave Nw, Gig Harbor, WA 98332 | 2010-04-06 |
| 1346473899 | Robert Howard Lerman | Internal Medicine | 9770 44th Ave Nw, Suite 102, Gig Harbor, WA 98332 | 2009-09-01 |
| 1447406699 | Franciscan Health System | General Acute Care Hospital | 11567 Canterwood Blvd, Gig Harbor, WA 98332 | 2008-08-07 |
| 1730303249 | Richard Mason Coyner | Dentist | 7715 Pioneer Way, Gig Harbor, WA 98332 | 2007-04-13 |
| 1902978711 | Byron D Fenton | Chiropractor | 14619 Purdy Dr, Gig Harbor, WA 98332 | 2006-11-15 |
| 1063515351 | Gordon Bernstein | Radiology | 5304 W Old Stump Dr Nw, Gig Harbor, WA 98332 | 2006-09-05 |
| Find all providers in zip 98332 | ||||
| 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 |
|---|---|---|---|---|
| 1154389229 | William Clark Lubken | Dentist | 5122 Olympic Dr Nw, Gig Harbor, WA 98335-1767 | 2006-05-01 |
| 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 | ||||
| City | GIG HARBOR |
| Zip Code | 98332 |
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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.