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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Valley Dental Center | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | CONSOLIDATED DENTAL THREE LLC | 6215 Ne 187th St, Kenmore, WA 98028-8924 |
Street Address |
19221 108TH AVE SE STE 2 |
City | RENTON |
State | WA |
Zip Code | 98055-7369 |
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 |
Find all providers in zip 98055 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
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 |
Find all providers in RENTON |
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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.