FREMONT FAMILY DENTISTRY (NPI# 1326194218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326194218 |
| Entity Type | Organization |
| Organization Name | FREMONT FAMILY DENTISTRY |
| Practice Address |
4464 Fremont Ave N Suite 103 Seattle WA 98103-7273 |
| Practice Telephone | 2062677300 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MAHVASH KHAJAVI-HARVEY (DENTIS) |
| Authorized Official Telephone | 2062677300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7667 | WA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | FREMONT FAMILY DENTISTRY, PC | 1003 West Toledo Street, Fremont, IN 46737-0766 |
| Street Address |
4464 FREMONT AVE N SUITE 103 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103-7273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427169911 | David Allen Harvey | Family Medicine | 4464 Fremont Ave N, Suite 103, Seattle, WA 98103-7273 | 2006-08-31 |
| 1871640581 | Fremont Family Practice LLC | Family Medicine | 4464 Fremont Ave N, Suite 103, Seattle, WA 98103-7273 | 2007-01-04 |
| 1003973124 | Tasnim Marsha Harris | Massage Therapist | 4464 Fremont Ave N, #102, Seattle, WA 98103-7273 | 2007-01-02 |
| 1194813600 | Peter N Grote | Family Medicine | 4464 Fremont Ave N, Suite #103, Seattle, WA 98103-7273 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1841844529 | Devin Bard | Counselor | 819 N 49th St, Suite 229, Seattle, WA 98103 | 2019-07-30 |
| 1811453343 | Matkel Corporation | Massage Therapist | 4459 Fremont Ave N Ste 2, Seattle, WA 98103 | 2019-02-20 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1073015129 | Kelly A Robison | Massage Therapist | 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 | 2018-03-05 |
| 1609387927 | Andrew Rogers | Counselor | 1307 North 45th Street, Suite 200, Seattle, WA 98103 | 2017-10-13 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
| Find all providers in zip 98103 | ||||
| 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 |
|---|---|---|---|---|
| 1730789082 | Kim & Cervantes-kim Dds Pllc | Dentist | 945 Elliott Ave W Ste 212, Seattle, WA 98119-3645 | 2020-10-27 |
| 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 |
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1073138558 | Mijin Choi | Dentist | 285 8th Ave N Apt 204, Seattle, WA 98109-5173 | 2020-06-10 |
| 1578020632 | Abu & Del Rosario, Pllc | Dentist | 1220 Howell St Ste 110, Seattle, WA 98101-1407 | 2019-02-25 |
| 1649755505 | William Lowrey | Dentist | 836 Ne 67th St Apt 712, Seattle, WA 98115-5882 | 2018-09-26 |
| 1215419809 | Gregory Arlen Maggass Jr. | Dentist | 4222 7th Ave Ne Apt 8, Seattle, WA 98105-6086 | 2018-08-30 |
| 1295214757 | Suzanne S Hall | Dentist | 515 N 138th St, Seattle, WA 98133-7420 | 2018-08-07 |
| 1871088195 | Hanbit Chi, Dds, Ps | Dentist | 1331 Harbor Ave Sw Ste 100, Seattle, WA 98116-1776 | 2018-06-28 |
| Find all providers in SEATTLE | ||||
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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.