UNIVERSITY DENTAL ASSOCIATES (NPI# 1881774081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881774081 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY DENTAL ASSOCIATES |
| Practice Address |
4526 15th Ave Ne Seattle WA 98105-4507 |
| Practice Telephone | 2065238094 |
| Practice Fax Number | 2065224634 |
| Mailing Telephone | 2065238094 |
| Mailing Fax Number | 2065224634 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-07-22 |
| Authorized Official Name | DR. THOMAS D WARE (OWNER) |
| Authorized Official Telephone | 2065238094 |
| 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 |
DE00003310 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720497266 | University Dental Associates | Dentist | 5215 Old Orchard Rd Ste 200, Skokie, IL 60077-1041 | 2014-08-08 |
| 1962638817 | University Dental Associates | Dentist | 1424 E 53rd St Ste 28, Suite 209, Chicago, IL 60615-4553 | 2009-06-05 |
| 1467688614 | University Dental Associates | Dentist | 18213 Dixie Hwy, Homewood, IL 60430-2205 | 2009-06-02 |
| 1740429968 | University Dental Associates | Dentist | 1 E Scott St, Chicago, IL 60610-2372 | 2009-02-11 |
| 1780772301 | University Dental Associates | Dentist | 40th and Holdrege Street, Room 137, Lincoln, NE 68583-0740 | 2006-10-10 |
| 1699901546 | University Dental Associates | Dentist | 1585 Barrington Rd, Suite 301, Dr Building 2, Hoffman Estates, IL 60169-1090 | 2009-06-05 |
| 1841325271 | University Dental Associates | Dentist | 6319 Fairview Ave, #103, Westmont, IL 60559-2888 | 2007-02-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | UNIVERSITY DENTAL ASSOCIATES | 34 N Prospect St, Burlington, VT 05401 |
| New York State Corporations | UNIVERSITY DENTAL ASSOCIATES, INC. | Suny At Buffalo, 210a Squire Hall, Buffalo, Ny 14214 |
| Massachusetts Corporations | UNIVERSITY DENTAL ASSOCIATES, INC. | 57 J.f. Kennedy St., Cambridge, MA 02138 |
| Street Address |
4526 15TH AVE NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821045493 | Thomas D Ware | Dentist | 4526 15th Ave Ne, Seattle, WA 98105-4507 | 2006-05-28 |
| 1902847429 | Mark E Wilson | Dentist | 4526 15th Ave Ne, Seattle, WA 98105-4507 | 2006-06-08 |
| 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 | 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 |
|---|---|---|---|---|
| 1730789082 | Kim & Cervantes-kim Dds Pllc | Dentist | 945 Elliott Ave W Ste 212, Seattle, WA 98119-3645 | 2020-10-27 |
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1275140535 | Byeonguk Kang | Dentist | 1959 Ne Pacific St Rm B403, Seattle, WA 98195-0001 | 2020-09-29 |
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1073138558 | Mijin Choi | Dentist | 285 8th Ave N Apt 204, Seattle, WA 98109-5173 | 2020-06-10 |
| 1578020632 | Abu & Del Rosario, Pllc | Dentist | 1220 Howell St Ste 110, Seattle, WA 98101-1407 | 2019-02-25 |
| 1649755505 | William Lowrey | Dentist | 836 Ne 67th St Apt 712, Seattle, WA 98115-5882 | 2018-09-26 |
| 1215419809 | Gregory Arlen Maggass Jr. | Dentist | 4222 7th Ave Ne Apt 8, Seattle, WA 98105-6086 | 2018-08-30 |
| 1295214757 | Suzanne S Hall | Dentist | 515 N 138th St, Seattle, WA 98133-7420 | 2018-08-07 |
| 1871088195 | Hanbit Chi, Dds, Ps | Dentist | 1331 Harbor Ave Sw Ste 100, Seattle, WA 98116-1776 | 2018-06-28 |
| 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.