REVIVE SMILES DENTISTRY, LLC (NPI# 1184135881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184135881 |
| Entity Type | Organization |
| Organization Name | REVIVE SMILES DENTISTRY, LLC |
| Practice Address |
259 Yale Ave N Seattle WA 98109-5430 |
| Mailing Address |
12715 Ne Bel Red Rd Ste 202 Bellevue WA 98005-2627 |
| Practice Telephone | 2068298565 |
| Mailing Telephone | 4256376997 |
| Mailing Fax Number | 4256371053 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |
| Authorized Official Name | DR. PETER S WONG (OWNER/DDS) |
| Authorized Official Telephone | 2068298565 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
9084 | WA | Ambulatory Health Care Facilities |
| Street Address |
259 YALE AVE N |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109-5430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
| Find all providers in zip 98109 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1023637725 | Urban Dental Group | Clinic/Center | 6800 Greenwood Ave N Unit A, Seattle, WA 98103-5228 | 2020-04-13 |
| 1285260067 | Sonia Kim Takasaki Dmd Pllc | Clinic/Center | 9730 3rd Ave Ne Ste 204, Seattle, WA 98115-2023 | 2020-03-12 |
| 1396396339 | Megan K. Burns, Dds, Pllc | Clinic/Center | 8757 Holman Rd Nw, Seattle, WA 98117-3464 | 2019-09-20 |
| 1275198285 | Hsu Tsuchikawa and Wong Pllc | Clinic/Center | 1453 Nw 54th Street, Suite A, Seattle, WA 98107 | 2019-05-06 |
| 1881189322 | Ahdut Bean Pllc | Clinic/Center | 4219 S Othello St Ste 105d, Seattle, WA 98118-3873 | 2018-06-27 |
| 1154825321 | Aboulhosn and Valentine Pllc | Clinic/Center | 2815 2nd Ave Ste 101, Seattle, WA 98121-1262 | 2018-03-21 |
| 1619497872 | Julia R Moritis Dds Pllc | Clinic/Center | 509 Olive Way Ste 1520, Seattle, WA 98101-1700 | 2017-06-20 |
| 1407382211 | Yen H. Nguyen-tran Dds, Pllc | Clinic/Center | 810 Martin Luther King Jr Way, Seattle, WA 98122-5046 | 2017-05-11 |
| 1013463371 | Mamiko Kuriya Dds Ps | Clinic/Center | 530 Broadway East, Apt #502, Seattle, WA 98102 | 2016-08-28 |
| Find all providers in SEATTLE | ||||
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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.