CONSOLIDATED DENTAL THREE


Address: 19221 108th Ave Se Ste 2, Renton, WA 98055-7369
Phone: 4259880801

CONSOLIDATED DENTAL THREE (NPI# 1164039731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164039731
Entity Type Organization
Organization Name CONSOLIDATED DENTAL THREE
Practice Address 19221 108th Ave Se Ste 2
Renton
WA 98055-7369
Practice Telephone 4259880801
Enumeration Date 2020-09-28
Last Update Date 2020-09-28
Authorized Official Name CHELSEA D'NICHOLE MORTELL (OWNER/ DENTIST)
Authorized Official Telephone 2067870132
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Valley Dental Center Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations CONSOLIDATED DENTAL THREE LLC 6215 Ne 187th St, Kenmore, WA 98028-8924

Office Location

Street Address 19221 108TH AVE SE STE 2
City RENTON
State WA
Zip Code 98055-7369

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356965750 Proliance Surgery Center At Valley, LLC Clinic/Center 4009 Talbot Road S, Suite 200, Renton, WA 98055 2020-06-01
1851804959 Talbot Rehabilitation Center, LLC Skilled Nursing Facility 4430 Talbot Road South, Renton, WA 98055 2017-11-10
1154878668 Nelson Family Dentistry Dentist 19221 108th Ave Se Suite #2, Renton, WA 98055 2016-09-01
1598182990 Annie Kyunga Ahn Otolaryngology 4033 Talbot Rd S Ste 540, Renton, WA 98055 2014-03-24
1376960138 Madhuri Gordhan Patel Registered Nurse 3501 Mill Place South, Renton, WA 98055 2014-03-18
1912331042 Karen Dohr Pharmacist 400 S. 43 Street, Renton, WA 98055 2013-08-26
1659637668 Benjamin Reiss Ophthalmology 4300 Talbot Rd S Ste 300, Renton, WA 98055 2012-04-03
1205137940 Duy Ai Quang Hoang Pharmacist 9431 S 196th Pl, Renton, WA 98055 2010-11-11
1972823664 Erica L Ellzey Physical Therapist 18623 112th Ave Se, Renton, WA 98055 2010-06-04
1588984587 Melissa A. Jordan Nurse Anesthetist, Certified Registered 4011 Talbot Rd., 5th Floor, Renton, WA 98055 2010-06-02
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336441617 Mydentist Dental Center Clinic/Center 333 Rainier Ave N, Renton, WA 98057-5358 2010-11-19
1912194697 Anna A. Danieli Dds Pllc Clinic/Center 1900 S Puget Dr Ste 102, Renton, WA 98055-4404 2007-09-26
1356560593 Renton Denture Clinic LLC Clinic/Center 419 S 4th St, Renton, WA 98055-2541 2007-04-25
1578686325 Dr Montel R Jenkins Dmd Ps Clinic/Center 212 Park Avenue North, Renton, WA 98057-5717 2007-04-09
1497360119 May Creek Family Dentistry Clinic/Center 1620 Duvall Ave Ne, Renton, WA 98059-3975 2020-09-10
1689166084 M. Cho, Dds, Pllc Clinic/Center 12644 164th Ave Se, Renton, WA 98059-6403 2018-05-31
1902259237 Ty M. Galvin, D.d.s. Clinic/Center 130 S 3rd Pl Ste 2, Renton, WA 98057-2439 2016-07-21
1366895823 Robert K. Sekijima, Dds,ms,ps Clinic/Center 1620 Duvall Ave Ne Ste B, Renton, WA 98059-3975 2016-07-20
1134572605 Hillcrest Dental Clinic/Center 4575 Ne 4th St, Suite #5, Renton, WA 98059-5054 2016-07-19
1619333853 Marian T Lin Dds P S Inc Clinic/Center 1620 Duvall Ave Ne, Ste 200, Renton, WA 98059-3975 2016-01-04
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Competitor

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City RENTON
Zip Code 98055

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Dataset Information

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.

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