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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Bellevue Overlake Dental | Doing Business As Name - Organization |
Street Address |
2020 116TH AVE NE STE 220 |
City | BELLEVUE |
State | WA |
Zip Code | 98004-3059 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
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 |
Find all providers in zip 98004 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
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 |
Find all providers in BELLEVUE |
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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.