PHONG ANH VONG (NPI# 1376784934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376784934 |
| Entity Type | Individual |
| Full Name | PHONG ANH VONG |
| Credential | L.D |
| Practice Address |
9670 14th Ave Sw Unit Ab Seattle WA 98106-2876 |
| Practice Telephone | 2067627222 |
| Practice Fax Number | 2067627783 |
| Mailing Telephone | 2067627222 |
| Mailing Fax Number | 2067627783 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | DN327 | WA | Dental Providers |
| Street Address |
9670 14TH AVE SW UNIT AB |
| City | SEATTLE |
| State | WA |
| Zip Code | 98106-2876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588805626 | Westside Smile Dental LLC | Denturist | 9670 14th Ave Sw Unit Ab, Seattle, WA 98106-2876 | 2009-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972062396 | Maria Rosario Rodriguez Nava | Marriage & Family Therapist | 4555 Deldrige Way S.w., Seattle, WA 98106 | 2019-03-15 |
| 1801372768 | Sea-mar Community Health Center | Pharmacy | 9650 15th Ave Sw Suite #100, Seattle, WA 98106 | 2018-07-13 |
| 1093226094 | Marneil Bacelonia | Behavior Technician | 7145 18th Ave Sw, Seattle, WA 98106 | 2017-10-17 |
| 1124570106 | Lien Tran | Pharmacist | 4025 Delridge Way Sw, #400, Bartell Drugs, Seattle, WA 98106 | 2016-10-26 |
| 1326594078 | Alexander Caudle Lmp LLC | Massage Therapist | 3400 Harbor Ave Sw, Seattle, WA 98106 | 2016-08-31 |
| 1023438421 | Tabitha Zier | Massage Therapist | 9425 14th Ave Sw, Seattle, WA 98106 | 2014-04-24 |
| 1164864971 | William Castillo Jr. | Counselor | 1725 Roxbury Avenue Sw, Suite #5, Seattle, WA 98106 | 2013-07-22 |
| 1922373091 | Katie Marie Albinger | Massage Therapist | 5255 19th Avenue Southwest, Seattle, WA 98106 | 2012-03-21 |
| 1316220254 | Vui Thi Nguyen | Pharmacist | 9420 8th Ave Sw, Seattle, WA 98106 | 2011-09-27 |
| 1710296256 | Amanda Caitlin Preston | Dietitian, Registered | 4500 Delridge Way Sw #5, Seattle, WA 98106 | 2010-10-01 |
| Find all providers in zip 98106 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629446364 | Jorge Abel Vizcarra | Denturist | 12733 Lake City Way Ne Ste 301, Seattle, WA 98125-4490 | 2015-09-11 |
| 1447657382 | Smile Bright Denture Center Ballard Inc. | Denturist | 8541 15th Ave Nw, Seattle, WA 98117-3606 | 2014-11-20 |
| 1588929988 | Yu Mark Wu | Denturist | 3230 Beacon Ave S Unit B, Seattle, WA 98144-6331 | 2012-07-11 |
| 1740557156 | Anwar Saeed Sultan | Denturist | 9040 Rainier Ave S Ste 6, Seattle, WA 98118-5000 | 2011-11-30 |
| 1356653067 | Irma Tanchoco Alcantara | Denturist | 7101 Ml King Jr Way South, Suite 211, Seattle, WA 98118 | 2010-07-10 |
| 1275859712 | Romulo Luarca Inocencio | Denturist | 6044 Mlk Jr Way S, Ste #101, Seattle, WA 98118 | 2010-04-08 |
| 1245470616 | Alex Melner | Denturist | 7311 15th Ave Nw, Seattle, WA 98117-5435 | 2009-02-25 |
| 1306091970 | Anastasia Ji Young Kim | Denturist | 11545 15th Ave Ne Ste 201, Seattle, WA 98125-6358 | 2008-11-24 |
| 1205080009 | Kam Wong | Denturist | 4501 44th Ave Sw, Seattle, WA 98116-4116 | 2008-11-06 |
| 1922258037 | Denture Clinic, Inc. | Denturist | 12733 Lake City Way N.e. Ave., Suite 301, Seattle, WA 98125 | 2008-09-25 |
| 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.