Edmonds Bay Dental is a Dentist in Edmonds, Washington. Edmonds Bay Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for Edmonds Bay Dental is 1942279997. The last update date is 2020-08-22.
Edmonds Bay Dental's current location address is 51 W Dayton, Edmonds, Washington. You can contact this provider via phone number 4257755162 and fax number 4254918100. The mailing address for Edmonds Bay Dental is 51 W Dayton, Edmonds, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edmonds Bay Dental |
|---|---|
| Address | 51 W Dayton, Edmonds, Washington |
| Phone Number | 4257755162 |
| Fax Number | 4254918100 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mischel V James |
| Credentials | DDS |
| Telephone Number | 4257755162 |
NPI Number Detail
| NPI Number | 1942279997 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 51 W Dayton |
|---|---|
| City | Edmonds |
| State | Washington (WA) |
| Post Code | 98020 |
| Phone Number | 4257755162 |
| Fax Number | 4254918100 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE0010360 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5049457 | WA | -- |
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What is the unique identification code assigned to Edmonds Bay Dental by the Centers for Medicare & Medicaid Services?
The Edmonds Bay Dental has been issued the NPI (National Provider Identifier) 1942279997. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Edmonds Bay Dental located?
The Edmonds Bay Dental is located at 51 W Dayton, Edmonds, WA 98020.
What is Edmonds Bay Dental's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Edmonds Bay Dental is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When was the Edmonds Bay Dental's 1942279997 issued?
The Edmonds Bay Dental's 1942279997 was issued on 2006-03-14.
When was the Edmonds Bay Dental's information last updated?
The Edmonds Bay Dental's information was last updated on 2020-08-22.
NPI Number: 1316940851
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