DR. MCKINLEY T SELF (NPI# 1518007723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518007723 |
| Entity Type | Individual |
| Full Name | DR. MCKINLEY T SELF |
| Credential | DMD |
| Practice Address |
9902 Ne Monsaas Rd Bainbridge Island WA 98110-1103 |
| Practice Telephone | 3604640779 |
| Mailing Telephone | 3604640779 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 5091 | NV | Dental Providers |
| Y | 122300000X | Dentist | DE00010260 | WA | Dental Providers |
| Street Address |
9902 NE MONSAAS RD |
| City | BAINBRIDGE ISLAND |
| State | WA |
| Zip Code | 98110-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667021 | William Reddy | Counselor | 8380 Ne Beck Road, Bainbridge Island, WA 98110 | 2020-07-29 |
| 1144875352 | Kaitlyn Barr | Physical Therapist | Kitsap Physical Therapy, 945 Hildebrand Ln Ste 220, Bainbridge Island, WA 98110 | 2019-08-05 |
| 1326601055 | Chloe Samantha Simon | Specialist/Technologist | 9650 Green Spot Pl., Req, Bainbridge Island, WA 98110 | 2019-04-18 |
| 1043721228 | Laura West Baker | Counselor | 11073 Madison Ave. N.e., Bainbridge Island, WA 98110 | 2017-10-16 |
| 1609305978 | Autism Coaching, Consulting, and Training, LLC | Early Intervention Provider Agency | 676 Lovell Ave Nw, Bainbridge Island, WA 98110 | 2017-06-08 |
| 1639423692 | Alice Hunting | Massage Therapist | 11700 Ne Meadowmeer Circle, Bainbridge Island, WA 98110 | 2012-10-30 |
| 1578813929 | Kitsap County Fire District No 2 | Ambulance | 8895 Madison Ave Ne, Bainbridge Island, WA 98110 | 2012-09-13 |
| 1841582707 | David Warren Sugarman | Psychologist | 4080 Crystal Springs Dr Ne, Bainbridge Island, WA 98110 | 2011-05-11 |
| 1346570371 | Trina Ann Peterson | Registered Nurse | 2213 N.e. Victorian Lane, C, Bainbridge Island, WA 98110 | 2010-01-14 |
| 1902135437 | Sally Karen Vest | Occupational Therapy Assistant | 10861 Manitou Park Blvd. Ne, Bainbridge Island, WA 98110 | 2009-12-11 |
| Find all providers in zip 98110 | ||||
| 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 |
|---|---|---|---|---|
| 1851760599 | Sunrise Dental | Dentist | 428 Harborview Dr Se, 128, Bainbridge Island, WA 98110-2461 | 2015-09-23 |
| 1962879312 | Dr Andrew L Fiscus Dds PC | Dentist | 730 Ericksen Ave Ne Ste 200, Bainbridge Island, WA 98110-2819 | 2015-09-01 |
| 1982888244 | Lawrence Curtis Bouma | Dentist | 12964 Roe Rd Ne, Bainbridge Island, WA 98110-1204 | 2007-12-21 |
| 1093939340 | David F Spooner | Dentist | 121 Madison Ave N, Bainbridge Island, WA 98110-1813 | 2007-04-11 |
| 1639290265 | Edward L. Kardong | Dentist | 6575 Wing Point Rd Ne, Bainbridge Island, WA 98110-2983 | 2007-04-02 |
| 1760550875 | Steven S Maloof | Dentist | 727 Ericksen Ave Ne, Ste 1, Bainbridge Island, WA 98110 | 2006-11-30 |
| 1457369373 | James Loren Dixon Sr. | Dentist | 221 Winslow Way W #302, Bainbridge Island, WA 98110 | 2006-08-04 |
| 1255325247 | Lena Mari Arvidson | Dentist | 10249 Ne Garibaldi Loop, Bainbridge Island, WA 98110 | 2005-09-06 |
| 1194270702 | Wicklund Dental | Dentist | 9723 Coppertop Loop Ne, Ste 101, Bainbridge Island, WA 98110-3699 | 2016-08-24 |
| 1417210469 | Matthew Mayer | Dentist | 1037 Madison Ave N, Bainbridge Island, WA 98110-1727 | 2012-06-24 |
| Find all providers in BAINBRIDGE ISLAND | ||||
| City | BAINBRIDGE ISLAND |
| Zip Code | 98110 |
Please comment or provide details below to improve the information on DR. MCKINLEY T SELF.
| 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.