SILVERLAKE ORTHODONTICS (NPI# 1972113652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972113652 |
| Entity Type | Organization |
| Organization Name | SILVERLAKE ORTHODONTICS |
| Practice Address |
10812 19th Ave Se Everett WA 98208-5153 |
| Practice Telephone | 4253385414 |
| Practice Fax Number | 4253385744 |
| Mailing Telephone | 4253385414 |
| Mailing Fax Number | 4253385744 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | DR. WILLIAM OLIVER (CEO AND OWNER) |
| Authorized Official Telephone | 4253385414 |
| Authorized Official Credential | DDS, MSC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| South Everett Orthodontist | Doing Business As Name - Organization |
| Street Address |
10812 19TH AVE SE |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346265857 | William Donald Oliver | Dentist | 10812 19th Ave Se, Everett, WA 98208 | 2006-07-13 |
| 1609216308 | Dennis Tran | Dentist | 10812 19th Ave Se, Everett, WA 98208-5153 | 2013-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| 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 |
|---|---|---|---|---|
| 1114046075 | Michael J Cognata | Dentist | 599 Broadway, Everett, MA 02149-3712 | 2007-03-29 |
| 1467595645 | Paul Kulits | Dentist | 7404 Evergreen Way, Suite B, Everett, WA 98203-5683 | 2007-02-15 |
| 1467506550 | Timothy Shields | Dentist | 13410 Highway 99 Ste 102, Everett, WA 98204-5454 | 2007-01-23 |
| 1124106687 | Michael L George Dds Msd Pllc | Dentist | 4001 Colby Ave, Everett, WA 98201-6207 | 2006-11-01 |
| 1831291301 | Soraya Elahi | Dentist | 563 Broadway Ste 23, Everett, MA 02149-3749 | 2006-09-03 |
| 1851401517 | Tofigh Raayai | Dentist | 551 Broadway, Everett, MA 02149 | 2006-08-30 |
| 1346265857 | William Donald Oliver | Dentist | 10812 19th Ave Se, Everett, WA 98208 | 2006-07-13 |
| 1609216308 | Dennis Tran | Dentist | 10812 19th Ave Se, Everett, WA 98208-5153 | 2013-06-27 |
| 1245460088 | Peter M. Pellegrini, Dds, Ms, P.s. | Dentist | 827 128th St Sw, Suite B, Everett, WA 98204-5321 | 2009-07-14 |
| 1245469493 | Peter M Pellegrini | Dentist | 827 128th St Sw, Suite B, Everett, WA 98204-5321 | 2009-07-09 |
| Find all providers in EVERETT | ||||
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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.