INNOVATIVE ENDODONTIC SOLUTIONS (NPI# 1376918342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376918342 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE ENDODONTIC SOLUTIONS |
| Practice Address |
26504 Ne Valley Street Duvall WA 98019 |
| Mailing Address |
Po Box 1180 Duvall WA 98019-1180 |
| Practice Telephone | 4257889575 |
| Practice Fax Number | 4257889577 |
| Mailing Telephone | 4257889575 |
| Mailing Fax Number | 4257889577 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |
| Authorized Official Name | CYNTHIA REBECCA TYLER (ENDODONTIST) |
| Authorized Official Telephone | 2069308789 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DE60566900 | WA | Dental Providers |
| Street Address |
26504 NE VALLEY STREET |
| City | DUVALL |
| State | WA |
| Zip Code | 98019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407134919 | Cynthia Rebecca Tyler | Dentist | 26504 Ne Valley Street, Duvall, WA 98019 | 2011-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598240202 | Emily Ellen Squiers | Counselor | 26420 Virginia St, Suite 2, Duvall, WA 98019 | 2018-09-27 |
| 1235629072 | Aubrey Christine Lane | Marriage & Family Therapist | Larch Counseling 15315 1st Avenue Northeast, #205-a, Duvall, WA 98019 | 2018-05-17 |
| 1528505575 | Jackie Schaedler Boak | Registered Nurse | 15309 2nd Ave Ne, Duvall, WA 98019 | 2017-01-30 |
| 1912326778 | Dan Claussen | Marriage & Family Therapist | 15315 Ne 1st Ave Ne, Suite 205-a, Duvall, WA 98019 | 2014-04-09 |
| 1134405509 | Amy R Bush | Physical Therapist | 15435 Main St. Ne #101, Duvall, WA 98019 | 2011-10-28 |
| 1215256730 | Diane Zakrajsek | Dietitian, Registered | 26502 Ne Valley Street Suite 102, Duvall, WA 98019 | 2010-05-24 |
| 1093917320 | Jolynn Wagner | Psychologist | 26502 Ne Valley St Suite 101, Duvall, WA 98019 | 2007-05-31 |
| 1760690242 | Rebecca Jean Maxcy | Specialist | 15705 Main St, Duvall, WA 98019 | 2007-05-18 |
| 1538377064 | The Camelot Society | Intermediate Care Facility, Mentally Retarded | 26509 N.e. Virginia St., Duvall, WA 98019 | 2007-05-18 |
| 1215143706 | Michele Marie Sullivan | Marriage & Family Therapist | 15315 1st Ave Ne, #212, Duvall, WA 98019 | 2007-05-14 |
| Find all providers in zip 98019 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403936 | Olsson & Niazi Pllc | Dentist | 3212 Nw Byron St Ste 108, Silverdale, WA 98383-9154 | 2020-09-23 |
| 1003432709 | Ralph Donald Hawkins | Dentist | 14921 182nd Ave E, Bonney Lake, WA 98391-8240 | 2020-06-18 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1558854844 | Hintz, Olaru, & Penberthy, Dds, Pllc | Dentist | 823 W 7th Ave Ste 202, Spokane, WA 99204-2850 | 2018-06-11 |
| 1316447758 | 3d Endodontics | Dentist | 451 Duvall Ave Ne Ste 120, Renton, WA 98059-4675 | 2018-02-12 |
| 1780101113 | Elena Andronova | Dentist | 1200 116th Ave Ne Ste G1, Bellevue, WA 98004-3802 | 2017-08-25 |
| 1679099246 | Randy L Ball Pllc | Dentist | 336 228th Ave Ne Ste 201, Sammamish, WA 98074-7290 | 2017-08-16 |
| 1104348739 | Roshanak Baghai, Pllc | Dentist | 1340 8th St Ne Ste 102, Auburn, WA 98002-4700 | 2017-07-14 |
| 1699219709 | Tanaya Kumar | Dentist | 4901 Point Fosdick Dr. Nw Street 300, Gig Harbor, WA 98335 | 2016-12-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
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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.