MRS. PHUONG THI DAO (NPI# 1124223755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124223755 |
| Entity Type | Individual |
| Full Name | MRS. PHUONG THI DAO |
| Credential | DMD |
| Practice Address |
910 Broadway 1 Everett MA 02149-3126 |
| Practice Telephone | 6173898317 |
| Mailing Telephone | 6173898317 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
17573 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821564253 | Phuong Dao | Pharmacist | 1275 York Ave, New York, NY 10065-6007 | 2018-10-24 |
| 1235597667 | Phuong My Dao | Pharmacist | 13500 Highway 90, Boutte, LA 70039-3500 | 2016-01-30 |
| 1073750691 | Phuong Billie Dao | Pharmacist | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2009-01-20 |
| Street Address |
910 BROADWAY 1 |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-3126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605940 | Jade W. Gan, Dds, Pllc | Dentist | 12902 Bothell Everett Hwy Ste E, Everett, WA 98208-6635 | 2020-09-24 |
| 1700494747 | Hwang Ghorbanian Im II Dds Ps | Dentist | 111 Se Everett Mall Way Ste B100, Everett, WA 98208-3208 | 2020-07-15 |
| 1467946376 | Quirt, Mongrain, Gibree, P.C. | Dentist | 10025 19th Ave Se Ste 200, Everett, WA 98208-4275 | 2018-06-15 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1003176512 | Phuongdao Dmd LLC | Dentist | 910 Broadway Fl 1, Everett, MA 02149-3126 | 2012-05-18 |
| 1275869000 | Dae Ho Kim | Dentist | 5929 Evergreen Way Ste 100, Everett, WA 98203-6031 | 2009-10-29 |
| 1578727269 | Atkinson & Kaopua, Ps | Dentist | 111 Se Everett Mall Way Ste D, Everett, WA 98208-3208 | 2008-07-11 |
| 1942468004 | Kee Nam Kim | Dentist | 10303 19th Ave Se Ste A, Everett, WA 98208-4265 | 2008-05-27 |
| 1609061886 | Dr Peter A Capodlilupo Dds P.C. | Dentist | 563 Broadway Ste 21, Everett, MA 02149-3749 | 2007-09-11 |
| 1083827596 | C.kim & Y.kim, Dds, Ps | Dentist | 13410 Highway 99 Ste 202, Everett, WA 98204-5454 | 2007-05-08 |
| Find all providers in EVERETT | ||||
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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.