Martha Lake Dental Center in Lynnwood - Dentist
Martha Lake Dental Center - NPI 1649475799
Martha Lake Dental Center is a Dentist in Lynnwood, Washington. Martha Lake Dental Center practices all healthcare services and medical treatments related to Dentist. The NPI Number for Martha Lake Dental Center is 1649475799. The last update date is 2020-08-22.
Martha Lake Dental Center's current location address is 1233 164th St Sw, Lynnwood, Washington. You can contact this provider via phone number 4257872402 and fax number 4257875350. The mailing address for Martha Lake Dental Center is 1233 164th St Sw, Lynnwood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Martha Lake Dental Center |
|---|---|
| Address | 1233 164th St Sw, Lynnwood, Washington |
| Phone Number | 4257872402 |
| Fax Number | 4257875350 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tran T Andrew |
| Credentials | DDS |
| Telephone Number | 4257872402 |
NPI Number Detail
| NPI Number | 1649475799 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1233 164th St Sw |
|---|---|
| City | Lynnwood |
| State | Washington (WA) |
| Post Code | 98087 |
| Phone Number | 4257872402 |
| Fax Number | 4257875350 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE9941 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Martha Lake Dental Center by the Centers for Medicare & Medicaid Services?
The Martha Lake Dental Center has been assigned the NPI (National Provider Identifier) 1649475799 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Martha Lake Dental Center's facilities are situated?
The facilities of Martha Lake Dental Center are physically located at the following address: 1233 164Th St Sw, Lynnwood, WA, 98087.
What is the Martha Lake Dental Center's specialty and taxonomy code?
The Martha Lake Dental Center's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649475799 to Martha Lake Dental Center?
The Centers for Medicare & Medicaid Services assigned the 1649475799 to Martha Lake Dental Center on 2007-06-19.
When was the information related to Martha Lake Dental Center most recently updated or refreshed?
The details pertaining to the Martha Lake Dental Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.