SOLO DENTURE AND DENTAL CLINIC INC (NPI# 1013381045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013381045 |
| Entity Type | Organization |
| Organization Name | SOLO DENTURE AND DENTAL CLINIC INC |
| Practice Address |
7411 196th St Sw Lynnwood WA 98036-5052 |
| Mailing Address |
7924 236th St Sw Apt 300 Edmonds WA 98026-8838 |
| Practice Telephone | 4256781166 |
| Practice Fax Number | 4256781167 |
| Mailing Telephone | 4253461604 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |
| Authorized Official Name | DR. OLEKSANDR STASYUK (OWNER) |
| Authorized Official Telephone | 4253461604 |
| Authorized Official Credential | D.P.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN60612122 | WA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SOLO DENTURE AND DENTAL CLINIC INC | 14307 Greenwood Ave N Ste Ic, Seattle, WA 98133-6880 |
| Street Address |
7411 196TH ST SW |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-5052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831594209 | Gene Melner | Denturist | 7411 196th St Sw, Lynnwood, WA 98036-5052 | 2014-10-28 |
| 1306211479 | Oleksandr P Stasyuk | Denturist | 7411 196th St Sw, Lynnwood, WA 98036-5052 | 2015-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121792 | Evolve Dental LLC | Clinic/Center | 4410 194th St Sw Ste A, Lynnwood, WA 98036-5598 | 2020-10-15 |
| 1528609294 | Kwang Jin Hahn Dds, Pllc | Clinic/Center | 13624 Highway 99 Ste D11, Lynnwood, WA 98087-1660 | 2019-10-03 |
| 1376107920 | Hyuk Yang Professional Services | Clinic/Center | 18623 Highway 99 Ste 201, Lynnwood, WA 98037-4552 | 2019-04-30 |
| 1265927644 | Dr. John Yae Dds Ps | Clinic/Center | 19720 68th Ave W Ste A, Lynnwood, WA 98036-4568 | 2018-06-27 |
| 1134548316 | Nguyen & Nguyen Dds, Pllc | Clinic/Center | 15620 Highway 99, Suite 4, Lynnwood, WA 98087 | 2014-04-15 |
| 1639514888 | Best Care Dental Clinic | Clinic/Center | 20113 68th Ave. W, Lynnwood, WA 98036 | 2013-05-01 |
| 1922253723 | Clint T. Worton, Dds - Lynnwood, Ps | Clinic/Center | 19106 33rd Ave W, Suite 1, Lynnwood, WA 98036-4712 | 2008-11-20 |
| 1639770662 | Regina Lam, Dds, Pllc | Clinic/Center | 3505 188th St Sw, Lynnwood, WA 98037-4707 | 2020-11-05 |
| 1740706373 | Suman Chintala Family Dental Pllc | Clinic/Center | 5017 196th St Sw Ste 202, Lynnwood, WA 98036-6123 | 2017-08-15 |
| 1922547637 | Sea-mar Community Health Center | Clinic/Center | 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 | 2017-02-14 |
| Find all providers in LYNNWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.