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
Address 2817 80th Avenue Se, Mercer Island, Washington
Phone Number 2062329600
Fax Number 2062322936
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Mcneill William Robert
Credentials DDS, MS
Telephone Number 2062329600

NPI Number Detail

NPI Number 1083714877
Provider Enumeration Date 2006-09-22
Last Updated Date 2013-11-04

Provider Mailing Address Detail

Address 2817 80th Avenue Se
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
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

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FAQs about Orthodontic Associates Of Mercer Island

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.

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