Jason P Pehling in Seattle - General Practice

Jason P Pehling - NPI 1962457036

Jason P Pehling is a General Practice in Seattle, Washington. Jason P Pehling practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jason P Pehling is 1962457036. The last update date is 2008-03-24.

Jason P Pehling's current location address is 2111 N Northgate Way, Seattle, Washington. You can contact this provider via phone number 2063638240 and fax number 2063638301. The mailing address for Jason P Pehling is 2111 N Northgate Way, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason P Pehling
Address 2111 N Northgate Way, Seattle, Washington
Phone Number 2063638240
Fax Number 2063638301
Sole Proprietor N
Credentials DDS, MS

NPI Number Detail

NPI Number 1962457036
Provider Enumeration Date 2006-05-24
Last Updated Date 2008-03-24

Provider Mailing Address Detail

Address 2111 N Northgate Way
City Seattle
State Washington (WA)
Post Code 98133
Phone Number 2063638240
Fax Number 2063638301

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DE00008992
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
155609 WA LABOR AND INDUSTRIES
62308 WA CIGNA
SB930 WA PREMERA MEDICAL
91131 WA CARPENTER'S HEALTH PLAN
93200 WA BLUE CROSS BLUE SHIELD
77777 WA DELTA DENTAL
932000 REGENCE
47570 WA PREMERA DENTAL
60054 WA AETNA DENTAL
60054 WA AETNA MEDICAL

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FAQs about Jason P Pehling

What is the unique identification code assigned to Jason P Pehling by the Centers for Medicare & Medicaid Services?

The Jason P Pehling has been issued the NPI (National Provider Identifier) 1962457036. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jason P Pehling is physically located?

The Jason P Pehling is physically situated at the following address: 2111 N Northgate Way, Seattle, WA, 98133.

What is Jason P Pehling's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jason P Pehling is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1962457036 to Jason P Pehling?

The Centers for Medicare & Medicaid Services originally issued the 1962457036 to Jason P Pehling on 2006-05-24.

As of what date were the details related to Jason P Pehling most recently updated or revised?

The information pertaining to Jason P Pehling, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-24.

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