Orthodontic Associates Of Mercer Island in Mercer Island - Orthodontics And Dentofacial Orthopedics
Orthodontic Associates Of Mercer Island - NPI 1083714877
Orthodontic Associates Of Mercer Island is a Orthodontics And Dentofacial Orthopedics in Mercer Island, Washington. Orthodontic Associates Of Mercer Island practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Orthodontic Associates Of Mercer Island is 1083714877. The last update date is 2013-11-04.
Orthodontic Associates Of Mercer Island's current location address is 2817 80th Avenue Se, Mercer Island, Washington. You can contact this provider via phone number 2062329600 and fax number 2062322936. The mailing address for Orthodontic Associates Of Mercer Island is 2817 80th Avenue Se, Mercer Island, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Orthodontic Associates Of Mercer Island |
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Address | 2817 80th Avenue Se, Mercer Island, Washington |
Phone Number | 2062329600 |
Fax Number | 2062322936 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Mcneill William Robert |
Credentials | DDS, MS |
Telephone Number | 2062329600 |
NPI Number Detail
NPI Number | 1083714877 |
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Provider Enumeration Date | 2006-09-22 |
Last Updated Date | 2013-11-04 |
Provider Mailing Address Detail
Address | 2817 80th Avenue Se |
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City | Mercer Island |
State | Washington (WA) |
Post Code | 980402913 |
Phone Number | 2062329600 |
Fax Number | 2062322936 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 3254 |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
6809 | WA | LICENSE NUMBER | |
3254 | WA | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Orthodontic Associates Of Mercer Island?
The Orthodontic Associates Of Mercer Island has been issued the NPI (National Provider Identifier) 1083714877 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Orthodontic Associates Of Mercer Island?
The Orthodontic Associates Of Mercer Island is physically situated at 2817 80Th Avenue Se, in the city of Mercer Island, state of WA, with the postal code 980402913.
What is Orthodontic Associates Of Mercer Island's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Orthodontic Associates Of Mercer Island is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date did the Orthodontic Associates Of Mercer Island receive the assignment of its 1083714877 from the Centers for Medicare & Medicaid Services?
The Orthodontic Associates Of Mercer Island was issued its 1083714877 by the Centers for Medicare & Medicaid Services on 2006-09-22.
As of what date were the details pertaining to Orthodontic Associates Of Mercer Island last refreshed?
The information related to the Orthodontic Associates Of Mercer Island, including its address, specialty, and other relevant details, was last updated on 2013-11-04.