CHARLES CHANG, DDS, MS, PLLC (NPI# 1316469323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316469323 |
| Entity Type | Organization |
| Organization Name | CHARLES CHANG, DDS, MS, PLLC |
| Other Organization Name | SNOQUALMIE MODERN DENTAL CARE |
| Practice Address |
7713 Center Blvd Se Ste 240 Snoqualmie WA 98065-6319 |
| Practice Telephone | (425) 577-7257 |
| Mailing Telephone | 4255777257 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |
| Authorized Official Name | CHARLES CHANG (OWNER) |
| Authorized Official Telephone | 4255777257 |
| Authorized Official Credential | DDS |
| 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 |
|---|---|
| Snoqualmie Modern Dental Care | Doing Business As Name - Organization |
| Street Address |
7713 CENTER BLVD SE STE 240 |
| City | SNOQUALMIE |
| State | WA |
| Zip Code | 98065-6319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265807 | Adam Kutzner | Dentist | 34929 Se Ridge Street Suite 220, Snoqualmie, WA 98065 | 2018-12-03 |
| 1396215000 | Anna Maher | Counselor | 37624 Se Fury St Ste 203, Snoqualmie, WA 98065 | 2018-11-26 |
| 1194271718 | Cindy Costa | Specialist | 38579 Se River Street, Suite 13, Snoqualmie, WA 98065 | 2016-09-01 |
| 1548716830 | Snoqualmie Family Dentistry | Clinic/Center | 38475 Se River Street, Snoqualmie, WA 98065 | 2016-08-28 |
| 1851769202 | Greg Kiper | Counselor | 9571 Ethan Wade Way Se, Snoqualmie, WA 98065 | 2015-09-02 |
| 1952792814 | Casi Davis | Registered Nurse | 8476 Se Reinig Pl, Snoqualmie, WA 98065 | 2015-02-13 |
| 1336484443 | Heidi Biddle | Counselor | 7972 Maple Ave. Se, Snoqualmie, WA 98065 | 2012-11-29 |
| 1255675302 | Patricia Soderlund Holladay | Occupational Therapist | 8001 Silva Ave Se, Snoqualmie, WA 98065 | 2012-11-15 |
| 1750635066 | Anne Elizabeth Mcgavran | Registered Nurse | 8001 Silva Avenue South East, Snoqualmie, WA 98065 | 2012-11-08 |
| 1447552005 | Friends of Youth | Community/Behavioral Health | 7972 Maple Ave. Se., Snoqualmie, WA 98065 | 2010-12-02 |
| Find all providers in zip 98065 | ||||
| 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 |
|---|---|---|---|---|
| 1891265807 | Adam Kutzner | Dentist | 34929 Se Ridge Street Suite 220, Snoqualmie, WA 98065 | 2018-12-03 |
| 1619025046 | Calvin Hyun Kim | Dentist | 7719 Center Blvd Se, Snoqualmie, WA 98065-8930 | 2007-01-08 |
| 1114025293 | Peter Ristuben | Dentist | 38475 Se River St, Snoqualmie, WA 98065-9658 | 2006-09-20 |
| 1144876731 | David R. Primrose, Dds Pllc | Dentist | 38700 Se River St, Snoqualmie, WA 98065-5154 | 2019-08-10 |
| 1063865384 | Snoqualmie Falls Dental | Dentist | 8026 Douglas Ave Se, Suite 200, Snoqualmie, WA 98065-6313 | 2016-07-21 |
| 1790092260 | Gabriel Malouf, Dds, Pllc | Dentist | 37624 Se Fury St, Snoqualmie, WA 98065-9589 | 2010-09-07 |
| 1548368616 | Anna Lee | Dentist | 38475 Se River St, Snoqualmie, WA 98065-9658 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113015 | Victor Bing-sheng Shih | Dentist | 9235 158th Pl Ne, Redmond, WA 98052-7524 | 2020-10-28 |
| 1730789082 | Kim & Cervantes-kim Dds Pllc | Dentist | 945 Elliott Ave W Ste 212, Seattle, WA 98119-3645 | 2020-10-27 |
| 1285233023 | Se Won An | Dentist | 7311 Ne 141st St Ste 2, Kirkland, WA 98034-9703 | 2020-10-22 |
| 1760080469 | Tanveer Singh Buttar | Dentist | 13955 57th Ave S, Tukwila, WA 98168 | 2020-10-14 |
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1275140535 | Byeonguk Kang | Dentist | 1959 Ne Pacific St Rm B403, Seattle, WA 98195-0001 | 2020-09-29 |
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1821605940 | Jade W. Gan, Dds, Pllc | Dentist | 12902 Bothell Everett Hwy Ste E, Everett, WA 98208-6635 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | SNOQUALMIE |
| Zip Code | 98065 |
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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.