DR. DALE S BLOOMQUIST


Address: 1221 Madison St, #1116, Seattle, WA 98104-3588
Phone: 2062152088

DR. DALE S BLOOMQUIST (NPI# 1740348705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740348705
Entity Type Individual
Full Name DR. DALE S BLOOMQUIST
Credential DDS
Practice Address 1221 Madison St
#1116
Seattle
WA 98104-3588
Practice Telephone 2062152088
Mailing Telephone 2062152088
Enumeration Date 2006-12-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DE00003788 WA Dental Providers

Office Location

Street Address 1221 MADISON ST
#1116
City SEATTLE
State WA
Zip Code 98104-3588

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518943646 Joseph Christopher Sniezek Otolaryngology 1221 Madison St, Suite 1523, Seattle, WA 98104-3588 2005-12-20
1588040018 Sherry Mae Ancheta Genetic Counselor, MS 1221 Madison St, Seattle, WA 98104-3588 2015-08-06
1861801201 Heather M Holdread Nurse Practitioner 1221 Madison St, Fl 4, Seattle, WA 98104-3588 2014-08-11
1477988509 Swedish Health Services Pharmacy 1221 Madison St, 3rd Floor, Ste 03ar34, Seattle, WA 98104 2013-09-09
1154667863 Joel D. Lilly, Md Ps Specialist 1221 Madison St, Suite 1210, Seattle, WA 98104-3588 2012-12-27
1750650289 Gene Anne Holtzman Nurse Practitioner 1221 Madison St, #1220, Seattle, WA 98104-3588 2011-12-29
1205116860 Carolyn Rachel Anderson Nurse Practitioner 1221 Madison St, Suite 1220, Seattle, WA 98104-3588 2011-08-26
1568791770 James P. Gasparich, Md, Ps Urology 1221 Madison St, Suite 1210, Seattle, WA 98104-3588 2009-12-17
1346484821 Krish Patel Internal Medicine 1221 Madison St, Ste 1020, Seattle, WA 98104-3588 2009-04-28
1184865198 Seattle Urological Associates, Pllc Urology 1221 Madison St, #1210, Seattle, WA 98104-3588 2009-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699394312 Richard Charles Harruff Pathology King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 2020-04-13
1558999474 Nathan Richard Benner Student in an Organized Health Care Education/Training Program Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 2020-03-27
1063058493 Brook, LLC. Health Educator 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 2019-11-20
1609418813 Stephanie Amanda Ann Mason Student in an Organized Health Care Education/Training Program 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 2019-10-09
1013480250 Robert Kenneth Lozier Pedorthist Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 2019-01-10
1548739576 Lee Hanses Physical Therapist 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 2018-11-20
1821579095 Karissa Lin Lee Pharmacist 401 Broadway #2075, Seattle, WA 98104 2018-08-27
1477042091 Maham Jehangir Student in an Organized Health Care Education/Training Program 325 9th Ave Department of Radiology, Seattle, WA 98104 2018-05-09
1740786581 Philip Daniel Tolley Student in an Organized Health Care Education/Training Program 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 2018-04-02
1528564242 Vanessa Dawn Leonhard Student in an Organized Health Care Education/Training Program 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 2018-04-02
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053875096 John K Tidwell Dds and Elizabeth A Kutcipal Dds Pllc Dentist 1801 Nw Market St Ste 108, Seattle, WA 98107-3909 2019-01-23
1780151027 Washington Jaw and Facial Surgery Pllc Dentist 2111 N Northgate Way Ste 105, Seattle, WA 98133-9018 2018-10-25
1952788150 David J Haralson Dentist 509 Olive Way Ste 1331, Seattle, WA 98101-1743 2015-04-27
1912391350 Li Han Lai Dentist Department of Oral Surgery 1959 Ne Pacific St, Health Sciences Building B-241, Seattle, WA 98195-0001 2015-03-24
1568693240 Todd Paul Fairbanks Dentist University of Washington Oral Surgery Dept, Box 357134, 1959 Ne Pacific St., Seattle, WA 98195-7134 2009-07-29
1720292436 Samuel Louis Bobek Dentist 600 Broadway Ste 460, Seattle, WA 98122-5312 2007-05-10
1669522546 Thomas Stuart Maring Dentist 509 Olive Way Ste 550, Seattle, WA 98101-1736 2007-01-11
1093882185 Darlene Michelle Chan Dentist 4744 41st Ave Sw Suite 107, Seattle, WA 98116-4566 2006-11-30
1750387361 Thomas Howard Hohl Dentist 4540 Sand Point Way Ne, Ste 360, Seattle, WA 98105 2005-06-28
1750842415 Brian H. Cheung, Dds, Md, Pllc Dentist 509 Olive Way Ste 1331, Seattle, WA 98101-1743 2019-03-26
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Competitor

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City SEATTLE
Zip Code 98104

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Dataset Information

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.

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