DMG DENTAL DESIGN LLC (NPI# 1508246927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508246927 |
| Entity Type | Organization |
| Organization Name | DMG DENTAL DESIGN LLC |
| Practice Address |
1908 201st Pl Se 200 Bothell WA 98012-8572 |
| Practice Telephone | 4254882345 |
| Practice Fax Number | 4254894082 |
| Mailing Telephone | 4254882345 |
| Mailing Fax Number | 4254894082 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |
| Authorized Official Name | DR. DAVID G MYASKOVSKY (MEMBER) |
| Authorized Official Telephone | 4254882345 |
| Authorized Official Credential | DDS, MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00007078 | WA | Dental Providers |
| Street Address |
1908 201ST PL SE 200 |
| City | BOTHELL |
| State | WA |
| Zip Code | 98012-8572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1164961025 | Wickler Behavioral Consulting | Behavioral Analyst | 632 182nd Street Se, Bothell, WA 98012 | 2017-02-13 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| Find all providers in zip 98012 | ||||
| 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 |
|---|---|---|---|---|
| 1114571791 | Claire Israel | Dentist | 16038 120th Ave Ne, Bothell, WA 98011-9513 | 2019-07-31 |
| 1962889154 | Jennifer Zhang Colbert | Dentist | 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 | 2015-04-27 |
| 1811268865 | Norman D Bolosan | Dentist | 19515 N Creek Pkwy Ste 212, Bothell, WA 98011-8200 | 2012-01-23 |
| 1013284207 | Ara G Carmody | Dentist | 18807 Beardslee Blvd Ste 105, Bothell, WA 98011 | 2011-11-16 |
| 1871634337 | John Arthur Herseth | Dentist | 10036 Ne 185th St, Bothell, WA 98011-3432 | 2007-02-09 |
| 1447300090 | Thomas Boriotti | Dentist | 10709 Beardslee Blvd, Ste 101, Bothell, WA 98011-3280 | 2007-01-12 |
| 1639239577 | Christopher G Wilkinson | Dentist | 22703 Bothell Everett Hwy Ste E, Bothell, WA 98021-8494 | 2006-12-11 |
| 1528126265 | Fernando Caballero | Dentist | 19020 Bothell Way Ne Ste C, Bothell, WA 98011-2996 | 2006-12-05 |
| 1811071079 | Joseph Michael Hanrahan | Dentist | 18222 104th Ave Ne, Suite 106, Bothell, WA 98011-3491 | 2006-10-24 |
| 1932281946 | Bruce Alan Johnson | Dentist | 7311 Ne 141st St, Bothell, WA 98011-5303 | 2006-10-19 |
| Find all providers in BOTHELL | ||||
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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.