WASHINGTON DENTAL CORPORATION (NPI# 1295108694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295108694 |
| Entity Type | Organization |
| Organization Name | WASHINGTON DENTAL CORPORATION |
| Other Organization Name | SILVERDALE SMILES DENTISTRY |
| Practice Address |
11065 Pacific Crest Place Nw Suite B-105 Silverdale WA 98383 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 3602616154 |
| Practice Fax Number | 3607191023 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2016-02-04 |
| Authorized Official Name | DR. JESSICA AHN (OWNER) |
| Authorized Official Telephone | 3602616154 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Silverdale Smiles Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245628122 | Washington Dental Corporation | Dentist | 25248 Pacific Hwy S, Suite 105, Kent, WA 98032 | 2014-12-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WASHINGTON DENTAL CORPORATION, PC | 17000 Red Hill Ave, Irvine, CA 92614-5626 |
| Oregon Corporations, Companies and Business Names | WASHINGTON DENTAL CORPORATION, PC | 17000 Red Hill Ave, Irvine, CA 92614 |
| Street Address |
11065 PACIFIC CREST PLACE NW SUITE B-105 |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397426 | Chaise Marie Gies | Student in an Organized Health Care Education/Training Program | 2041 Nw Myhre Rd, Suite 311, Silverdale, WA 98383 | 2019-10-10 |
| 1700432762 | Myles Sorokovsky | Physical Medicine & Rehabilitation | 2400 Mw Myhre Rd Ste 101, Silverdale, WA 98383 | 2019-08-15 |
| 1114485521 | Sarah Schiavone | Pharmacist | Silverdale Medical Center, 10452 Silverdale Way Nw, Silverdale, WA 98383 | 2019-03-05 |
| 1609385459 | Emily Ann Yee | Behavior Technician | 3100 Bucklin Hill Rd Suite 215, Silverdale, WA 98383 | 2017-09-25 |
| 1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
| 1326448978 | Deborah Ann Nielson | Counselor | 10513 Silverdale Way Nw Ste 110, Silverdale, WA 98383 | 2014-09-02 |
| 1740610526 | Tallison Group, Inc | Counselor | 9119 Ridgetop Blvd, Suite #220, Silverdale, WA 98383 | 2013-11-15 |
| 1689000838 | Denise C Fairchild | Hearing Instrument Specialist | 2845 Ne Kitsap Pl, Silverdale, WA 98383 | 2013-09-19 |
| 1437459393 | Siegfried Ariel Naumann | Dentist | 3511 Nw Bucklin Hill Rd, Silverdale, WA 98383 | 2010-10-26 |
| 1174851596 | Jerrold Stuart Johnson | Dentist | 3511 Bucklin Hill Rd. Nw, Silverdale, WA 98383 | 2009-11-23 |
| Find all providers in zip 98383 | ||||
| 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 |
|---|---|---|---|---|
| 1396149605 | Matthew A Pollard | Dentist | 3494 Nw Bucklin Hill Rd Ste 200, Silverdale, WA 98383-8390 | 2014-10-15 |
| 1710297098 | Erin Rurik Palmer | Dentist | 9951 Mickelberry Rd Nw Ste 223, Silverdale, WA 98383-8309 | 2010-10-20 |
| 1720391873 | Daniel R Byrne Dmd Alan Macks Dmd Ps | Dentist | 9910 Levin Rd Nw Ste 100, Silverdale, WA 98383-7789 | 2010-07-19 |
| 1124275839 | Christen Lorraine Sauers | Dentist | 103 E Main St., Silverdale, PA 18962 | 2008-08-25 |
| 1518179340 | Jonathan Brooke Lewis | Dentist | 103 E. Main St., Silverdale, PA 18962 | 2007-05-04 |
| 1467674994 | Jason R. Hoyner | Dentist | 9060 Silverdale Way Nw, Silverdale, WA 98383-9198 | 2007-05-03 |
| 1487775912 | Royal Chandler Aaby | Dentist | 10404 Silverdale Way Nw, Suite E-109, Silverdale, WA 98383 | 2007-04-02 |
| 1013068634 | James P Drew | Dentist | 9395 Linder Way Nw Ste 102, Silverdale, WA 98383-9149 | 2007-01-12 |
| 1225122104 | Phillips & Niemeyer, D.d.s., P.l.l.c | Dentist | 3637 Nw Byron Street, Silverdale, WA 98383 | 2006-10-03 |
| 1184725657 | Vernon Lyle Beck | Dentist | 3637 Nw Byron St, Silverdale, WA 98383-9127 | 2006-09-26 |
| Find all providers in SILVERDALE | ||||
| City | SILVERDALE |
| Zip Code | 98383 |
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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.