Edward Stephen Dolan in Kenmore - General Practice
Edward Stephen Dolan - NPI 1417061599
Edward Stephen Dolan is a General Practice in Kenmore, Washington. Edward Stephen Dolan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edward Stephen Dolan is 1417061599. The last update date is 2007-07-08.
Edward Stephen Dolan's current location address is 5701 Ne Bothell Way, Kenmore, Washington. You can contact this provider via phone number 4254881405 and fax number 4254866432. The mailing address for Edward Stephen Dolan is 5701 Ne Bothell Way, Kenmore, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Stephen Dolan |
|---|---|
| Address | 5701 Ne Bothell Way, Kenmore, Washington |
| Phone Number | 4254881405 |
| Fax Number | 4254866432 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1417061599 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5701 Ne Bothell Way |
|---|---|
| City | Kenmore |
| State | Washington (WA) |
| Post Code | 980289400 |
| Phone Number | 4254881405 |
| Fax Number | 4254866432 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8771 |
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Definition: 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. |
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What is the unique 10-digit identifier code assigned to Edward Stephen Dolan by the Centers for Medicare & Medicaid Services?
The Edward Stephen Dolan has been issued the NPI (National Provider Identifier) 1417061599 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Edward Stephen Dolan located?
The Edward Stephen Dolan is located at 5701 Ne Bothell Way, Kenmore, WA 980289400.
What is Edward Stephen Dolan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Edward Stephen Dolan is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Edward Stephen Dolan receive the assignment of its 1417061599 from the Centers for Medicare & Medicaid Services?
The Edward Stephen Dolan was issued its 1417061599 by the Centers for Medicare & Medicaid Services on 2006-08-18.
When was the information pertaining to Edward Stephen Dolan most recently updated or revised?
The details related to Edward Stephen Dolan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY