DIANA MARIE BLAU YUSOFF (NPI# 1114333077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114333077 |
| Entity Type | Individual |
| Full Name | DIANA MARIE BLAU YUSOFF |
| Practice Address |
31775 Sr 20 Suite A-3 Oak Harbor WA 98277-5139 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 3606799216 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2016-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE60476608 | WA | Dental Providers |
| Street Address |
31775 SR 20 SUITE A-3 |
| City | OAK HARBOR |
| State | WA |
| Zip Code | 98277-5139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659487031 | Larry Eugene Hartman | Dentist | 31775 Sr 20, Ste A1, Oak Harbor, WA 98277 | 2006-08-21 |
| 1548486962 | Dina Nabil Khairy | Dentist | 31775 Sr 20, Suite A-3, Oak Harbor, WA 98277 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952951782 | Amber Dorothy Rettus | Counselor | 31640 Wa -20 #1, Oak Harbor, WA 98277 | 2019-09-13 |
| 1528612082 | Grace Alfery Finnell | Pharmacist | 31645 Sr 20, Oak Harbor, WA 98277 | 2019-08-01 |
| 1407321839 | Leah Marie Threats | Behavior Technician | Advance Behavioral Education Continuum, 231 Se Barrington Dr. Ste 201, Oak Harbor, WA 98277 | 2018-10-12 |
| 1285115329 | Jared M Wirth | Dentist | 275 Se Cabot Dr., #b201, Oak Harbor, WA 98277 | 2018-08-27 |
| 1952896854 | Makella Ann Mccormack | Behavior Technician | 231 Se Barrington Dr. Ste 203, Oak Harbor, WA 98277 | 2018-06-25 |
| 1972004703 | Sophia Kaye Johnson | Counselor | 3165 Wa-20 Suite#1, Oak Harbor, WA 98277 | 2018-02-27 |
| 1043728827 | Lance D Keyes Dds | Dentist | 32650 State Route 20 Ste E106, Oak Harbor, WA 98277 | 2018-01-16 |
| 1689195075 | Laboratory Corporation of America | Clinical Medical Laboratory | 275 Se Cabot Dr Ste A9, Oak Harbor, WA 98277 | 2017-07-06 |
| 1841723368 | Stephanie Bailey | Behavioral Analyst | 231 Barrington Dr. Suite 201, Oak Harbor, WA 98277 | 2017-04-11 |
| 1336684463 | Angel Lyn Faith Camello | Behavior Technician | 31955 State Route 20, #3, Oak Harbor, WA 98277 | 2016-12-28 |
| Find all providers in zip 98277 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083099519 | Carsten Bradley Quinton | Dentist | 275 Se Cabot Dr Ste A1, Oak Harbor, WA 98277 | 2015-07-27 |
| 1750722427 | Joseph D Keyes | Dentist | 751 Se Barrington Dr, Oak Harbor, WA 98277-3278 | 2013-07-10 |
| 1942640271 | Derek Thomas Wirth | Dentist | 275 Se Cabot Dr Ste 201, Oak Harbor, WA 98277-3715 | 2013-07-01 |
| 1366756728 | Joseph Ryan Stout | Dentist | 651 Se Maylor St, Oak Harbor, WA 98277-5413 | 2010-07-28 |
| 1184950776 | Oak Harbor Dental Care | Dentist | 11707 W. State Route 163, Oak Harbor, OH 43449 | 2009-11-02 |
| 1659536217 | Timothy L Wezeman | Dentist | 926 E Whidbey Ave, Oak Harbor, WA 98277-2674 | 2008-07-23 |
| 1225252844 | Erin E Palmreuter | Dentist | 31775 Sr 20 Ste A3, Oak Harbor, WA 98277-5104 | 2007-04-13 |
| 1982726105 | Gary Solberg | Dentist | 32785 State Route 20 Ste 2, Oak Harbor, WA 98277-2622 | 2007-04-06 |
| 1205998838 | Samuel F Johnson | Dentist | 860 Se Bayshore Dr Ste 101, Oak Harbor, WA 98277-4060 | 2006-12-13 |
| 1295808277 | Andrew Joseph Wyman | Dentist | 795 Ne Midway Blvd, Suite 201, Oak Harbor, WA 98277-2683 | 2006-11-16 |
| Find all providers in OAK HARBOR | ||||
| City | OAK HARBOR |
| Zip Code | 98277 |
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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.