BALLINGER DENTAL CLINIC (NPI# 1285843375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285843375 |
| Entity Type | Organization |
| Organization Name | BALLINGER DENTAL CLINIC |
| Practice Address |
20036 19th Ave Ne Shoreline WA 98155-1211 |
| Practice Telephone | 2063630401 |
| Practice Fax Number | 2063630409 |
| Mailing Telephone | 2063630401 |
| Mailing Fax Number | 2063630409 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SOLEIMAN SOLTANI (DENTIST) |
| Authorized Official Telephone | 2063630401 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7090 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5030820 | 05 |
| Street Address |
20036 19TH AVE NE |
| City | SHORELINE |
| State | WA |
| Zip Code | 98155-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336330927 | Saifullah Zakaria | Dentist | 20036 19th Ave Ne, Shoreline, WA 98155-1211 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922575703 | Dale Worrell | Counselor | Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-10-30 |
| 1770060568 | Jason Freed | Occupational Therapist | 1250 Ne 145th St., Shoreline, WA 98155 | 2018-07-24 |
| 1497208771 | Mirit Markowitz | Counselor | 14803 15 Ave Ne, Seattle, WA 98155 | 2016-08-03 |
| 1003207788 | Jessica Hinckley | Counselor | 17018 15tth Ave Ne, Shoreline, WA 98155 | 2015-02-17 |
| 1407119001 | Erika Tydor | Optometrist | 18021 15th Ave Ne Suite 100, Shoreline, WA 98155 | 2012-06-19 |
| 1891075917 | Kieran Joseph Mcmanimon | Massage Therapist | 18724 35th Ave Ne, Lake Forest Park, WA 98155 | 2011-08-20 |
| 1376841270 | Kym Kolb | Massage Therapist | 17908 15th Ave Ne, Shoreline, WA 98155 | 2011-03-02 |
| 1205069333 | Acclaim Body Care, LLC | Massage Therapist | 17517 15th Ave., Suite B, Shoreline, WA 98155 | 2009-08-24 |
| 1881834570 | Jason Sailesh Dave | Naturopath | 2871 University St, Seattle, WA 98155 | 2009-02-20 |
| 1396918975 | Ashleigh Veronique Schultz | Counselor | 216 Ne 175th Street, Shoreline, WA 98155 | 2008-04-04 |
| Find all providers in zip 98155 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982001988 | Scott Henricksen Dds | Dentist | 701 N 182nd St # 120, Shoreline, WA 98133-4430 | 2014-11-20 |
| 1912328758 | Ekaterina Malinovska | Dentist | 1359 N 205th St Ste A, Bright 32 Family Dentistry, Shoreline, WA 98133-3215 | 2013-12-20 |
| 1902152887 | Jordan M Brenner | Dentist | 1359 N 205th St, Shoreline, WA 98133-3215 | 2012-07-30 |
| 1295959583 | Douglas Ferguson Wilkey | Dentist | 623 Nw Richmond Beach Rd, Shoreline, WA 98177-3121 | 2007-04-11 |
| 1831212364 | Quality Dental and Denture Care, Inc. | Dentist | 19550 Aurora Ave N, Shoreline, WA 98133-3521 | 2007-04-09 |
| 1972661049 | Henri Frederik Duyzend | Dentist | 18528 Firlands Way North, Suite C, Shoreline, WA 98133 | 2006-12-04 |
| 1114006590 | Richard Dennis Kawamoto | Dentist | 727 N 182nd St, Suite 201, Shoreline, WA 98133-4402 | 2006-11-04 |
| 1497869416 | Eric Arthur Carlson | Dentist | 18550 Firlands Way N, Shoreline, WA 98133 | 2006-08-18 |
| 1992756647 | Larrance Lesley Commons | Dentist | 17500 12th Ave Ne, Shoreline, WA 98155-3769 | 2006-05-15 |
| 1790789162 | Gary David Pyfer | Dentist | 330 Nw Richmond Beach Rd, Shoreline, WA 98177-3120 | 2005-06-13 |
| Find all providers in SHORELINE | ||||
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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.