WASHINGTON DENTAL CORPORATION, PC (NPI# 1366966376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366966376 |
| Entity Type | Organization |
| Organization Name | WASHINGTON DENTAL CORPORATION, PC |
| Other Organization Name | EVERETT MODERN DENTISTRY |
| Practice Address |
1031 Se Everett Mall Way Ste 101 Everett WA 98208-2833 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 4254262077 |
| Practice Fax Number | 4253076210 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 3039520892 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |
| Authorized Official Name | DR. WILLIAM J MCGLASHAN (OWNER) |
| Authorized Official Telephone | 4254262077 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Everett Modern Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1295371128 | Washington Dental Corporation, PC | Dentist | 732 Shaw Rd Ste B, Puyallup, WA 98372-5276 | 2019-11-26 |
| 1457902595 | Washington Dental Corporation, PC | Dentist | 2235 148th Ave Ne, Bellevue, WA 98007-3726 | 2019-09-20 |
| 1386299428 | Washington Dental Corporation, PC | Dentist | 12502 Mukilteo Speedway, Mukilteo, WA 98275-5730 | 2019-08-06 |
| 1679127922 | Washington Dental Corporation, PC | Dentist | 7084 Lakeland Hills Way, Suite 104, Auburn, WA 98092 | 2019-07-25 |
| 1255894176 | Washington Dental Corporation, PC | Dentist | 2729 N Pearl St, Tacoma, WA 98407 | 2019-04-08 |
| 1891258711 | Washington Dental Corporation, PC | Dentist | 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 | 2019-04-08 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1124510276 | Washington Dental Corporation, PC | Dentist | 27237 172nd Ave Se Ste 105a, Covington, WA 98042-7352 | 2018-06-05 |
| 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 |
1031 SE EVERETT MALL WAY STE 101 |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| 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 |
|---|---|---|---|---|
| 1457969669 | Manvir Kaur | Dentist | 3425 96th Pl Se, Everett, WA 98208-4321 | 2020-07-14 |
| 1700427978 | Ali Ahmed Al-rubaye | Dentist | 285 Main St # 5719, Everett, MA 02149-5719 | 2019-09-30 |
| 1841831096 | Jimmy Samuel Alburquerque | Dentist | 459 Broadway Ste 1, Everett, MA 02149-3614 | 2019-09-30 |
| 1649830761 | Francini Heidemann | Dentist | 39 Parlin St Apt 203, Everett, MA 02149-1944 | 2019-06-20 |
| 1205316361 | Nam Duc-hai Nguyen | Dentist | 1510 Se Everett Mall Way Ste C, Everett, WA 98208-2863 | 2018-08-17 |
| 1750885471 | Washington Dental Corporation, PC | Dentist | 1519 132nd St Se Ste G, Everett, WA 98208-7203 | 2018-03-19 |
| 1922548684 | Winston Lo | Dentist | 111 Se Everett Mall Way # B-100, Everett, WA 98208-3208 | 2017-02-28 |
| 1649725748 | Perfect Smiles Dentistry Pllc | Dentist | 1510 Se Everett Mall Way, Suite C, Everett, WA 98208-2863 | 2016-08-18 |
| 1316319015 | Alireza Barekatein | Dentist | 1823 1/2 State St, Everett, WA 98201-2166 | 2015-10-21 |
| 1801264296 | Ourania Vitsas | Dentist | 107 Swan St, Everett, MA 02149-1305 | 2015-09-02 |
| Find all providers in EVERETT | ||||
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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.