SCOTT WALETZKO (NPI# 1205161825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205161825 |
| Entity Type | Individual |
| Full Name | SCOTT WALETZKO |
| Practice Address |
275 Se Cabot Dr Suite B-204 Oak Harbor WA 98277-3715 |
| Mailing Address |
28360 23rd Ave S Federal Way WA 98003-2967 |
| Practice Telephone | 3606752284 |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2016-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE 60045256 | WA | Dental Providers |
| Street Address |
275 SE CABOT DR SUITE B-204 |
| City | OAK HARBOR |
| State | WA |
| Zip Code | 98277-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557338 | Robert Scott Miller | Social Worker | 275 Se Cabot Dr, Ste B206, Oak Harbor, WA 98277-3755 | 2005-06-09 |
| 1033771977 | Julia Marsh | Nurse Practitioner | 275 Se Cabot Dr, Oak Harbor, WA 98277-3715 | 2019-07-01 |
| 1639687502 | Kristine Holiday | Physician Assistant | 275 Se Cabot Dr, Oak Harbor, WA 98277-3715 | 2018-01-13 |
| 1407388283 | Lantz & Associates Counseling, LLC | Social Worker | 275 Se Cabot Dr, B206, Oak Harbor, WA 98277-3715 | 2017-03-30 |
| 1063953396 | Nicole Ruth Dipzinski | Social Worker | 275 Se Cabot Dr, B206, Oak Harbor, WA 98277-3715 | 2017-03-20 |
| 1336546092 | Desirae Koonce | Physical Therapist | 275 Se Cabot Dr, Suite A-05, Oak Harbor, WA 98277-3715 | 2014-11-24 |
| 1437563368 | Integrated Rehabilitation Group PC | Massage Therapist | 275 Se Cabot Dr, Suite A-05, Oak Harbor, WA 98277-3715 | 2014-06-18 |
| 1588927594 | David Thuet Dds Pllc | Clinic/Center | 275 Se Cabot Dr, Suite A-11, Oak Harbor, WA 98277-3715 | 2012-06-25 |
| 1538468236 | Laboratory Corporation of America | Clinical Medical Laboratory | 275 Se Cabot Dr, Ste B101, Oak Harbor, WA 98277-3715 | 2011-03-21 |
| 1730491853 | David Mark Thuet | Dentist | 275 Se Cabot Dr, Suite A-11, Oak Harbor, WA 98277-3715 | 2010-07-06 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1285115329 | Jared M Wirth | Dentist | 275 Se Cabot Dr., #b201, Oak Harbor, WA 98277 | 2018-08-27 |
| 1962720953 | Randle T Carr | Dentist | 20 Se 8th Ave, Oak Harbor, WA 98277-5314 | 2010-05-14 |
| 1659563781 | Michael A. Lemme Dds, Pllc | Dentist | 1290 E Whidbey Ave, Oak Harbor, WA 98277-4935 | 2007-08-13 |
| 1316055841 | Henry Joseph Vasquez | Dentist | 1075 Ne 7th Ave, Oak Harbor, WA 98277 | 2006-08-25 |
| 1982717591 | Timothy David Wezeman | Dentist | 926 East Whidbey Ave, Oak Harbor, WA 98277 | 2006-08-16 |
| 1427066950 | Harry Guthrie Turner | Dentist | 230 Se Cabot Dr Ste 1, Oak Harbor, WA 98277-3700 | 2006-08-03 |
| 1285657122 | Douglas R Wood | Dentist | 275 Se Cabot Dr Ste B204, Oak Harbor, WA 98277-3755 | 2006-07-25 |
| 1710921531 | Gary E. Berner, Dds, Pllc | Dentist | 950 E Whidbey Ave, Oak Harbor, WA 98277-2674 | 2006-06-15 |
| 1336115559 | Sidney J Strother | Dentist | 520 E Whidbey Ave, Ste 210, Oak Harbor, WA 98277-5921 | 2006-02-27 |
| 1215915244 | Jimmy Masami Saiku | Dentist | 2449 Sw Capital Dr, Oak Harbor, WA 98277-8128 | 2006-01-09 |
| 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.