Alan Petkov in Kirkland - Dentist

Alan Petkov - NPI 1548388507

Alan Petkov is a Dentist in Kirkland, Washington. Alan Petkov practices all healthcare services and medical treatments related to Dentist. The NPI Number for Alan Petkov is 1548388507. The last update date is 2007-07-08.

Alan Petkov's current location address is 11605 132nd Ave Ne, Kirkland, Washington. You can contact this provider via phone number 4257398157 and fax number 4257398292. The mailing address for Alan Petkov is 11605 132nd Ave Ne, Kirkland, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Alan Petkov
Address 11605 132nd Ave Ne, Kirkland, Washington
Phone Number 4257398157
Fax Number 4257398292
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1548388507
Provider Enumeration Date 2007-03-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11605 132nd Ave Ne
City Kirkland
State Washington (WA)
Post Code 980348505
Phone Number 4257398157
Fax Number 4257398292

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 3983
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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FAQs about Alan Petkov

What is the Alan Petkov's 1548388507?

The Alan Petkov's NPI (National Provider Identifier) Number is 1548388507. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Alan Petkov's facilities are situated?

The facilities of Alan Petkov are physically located at the following address: 11605 132Nd Ave Ne, Kirkland, WA, 980348505.

What is Alan Petkov's specialized field of practice, and what is the corresponding taxonomy classification code?

The Alan Petkov's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Alan Petkov receive its 1548388507 assignment from the Centers for Medicare & Medicaid Services?

The Alan Petkov was assigned its 1548388507 by the Centers for Medicare & Medicaid Services on 2007-03-27.

As of what date was the information pertaining to Alan Petkov, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Alan Petkov, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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