OVERLAKE FAMILY DENTAL


Address: 2020 116th Ave Ne Ste 220, Bellevue, WA 98004-3059
Phone: 4254539999

OVERLAKE FAMILY DENTAL (NPI# 1265086029) 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) 1265086029
Entity Type Organization
Organization Name OVERLAKE FAMILY DENTAL
Practice Address 2020 116th Ave Ne Ste 220
Bellevue
WA 98004-3059
Mailing Address 20612 88th Ave W
Edmonds
WA 98026-6656
Practice Telephone 4254539999
Practice Fax Number 4254537728
Mailing Telephone 2068986970
Enumeration Date 2019-07-30
Last Update Date 2019-07-30
Authorized Official Name DR. MONICA YU (DENTIST)
Authorized Official Telephone 2068986970
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
Bellevue Overlake Dental Doing Business As Name - Organization

Office Location

Street Address 2020 116TH AVE NE STE 220
City BELLEVUE
State WA
Zip Code 98004-3059

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1306458328 Geneva Paula Hoskins-dorsey Nurse Practitioner 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 2020-08-20
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1669989216 Atsuko Nakajima Acupuncturist 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 2018-01-04
1740794718 Radka Chapin Counseling, LLC Clinic/Center 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 2017-11-28
1962912105 Cuyler Ann Simmons Counselor 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 2017-10-02
1639690357 Nicolas Lopez-montalvo Behavioral Analyst 3003 Northup Way Suite 200, Bellevue, WA 98004 2017-07-03
1124579537 Matthew Thomas Haley Pharmacist 107 Bellevue Way, Se, Bellevue, WA 98004 2016-10-20
1649727348 Kelsey Tanaka Nurse Practitioner 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 2016-09-10
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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
1497363972 Kemahli, LLC Clinic/Center 15710 Ne 24th St Ste B, Bellevue, WA 98008-2444 2020-07-21
1700432390 Kitts & Kitts Pllc Clinic/Center 13715 Ne Bel Red Rd, Bellevue, WA 98005-4570 2019-08-10
1235621046 Preet Taneja Dds, Pllc Clinic/Center 14655 Ne Bel Red Rd # F103, Bellevue, WA 98007-3900 2018-06-06
1699202598 Hansen & Lintakoon Dds Pllc Clinic/Center 12330 Ne 8th St Ste 200, Bellevue, WA 98005-3187 2017-05-23
1306392022 Zan Xu Dds of Bellevue Pllc Clinic/Center 1160 106th Ave Ne, Bellevue, WA 98004 2016-09-01
1871048421 Joseph Mecca, Dmd, Pllc Clinic/Center 14535 Bel Red Rd Ste 102, Bellevue, WA 98007-3907 2016-08-23
1871046151 Vikram Likhari Bds, Ms Clinic/Center 13635 Bel Red Rd, Bellevue, WA 98005-4555 2016-08-03
1366898231 Michael Gile Dds Pllc Clinic/Center 14420 Bel Red Rd Ste 205, Bellevue, WA 98007-3930 2016-05-10
1366822017 Davinci Dental Clinic/Center 909 112th Ave Ne Ste P104, Davinci Dental, Bellevue, WA 98004-8589 2015-06-08
1629314950 Michaela Bobeva Dds Msd Pllc Clinic/Center 15419 Ne 20th St Ste 101, Bellevue, WA 98007-3838 2012-12-13
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Competitor

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City BELLEVUE
Zip Code 98004

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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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