MAHADEEP VIRK DMD-EDMONDS PS (NPI# 1528275278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528275278 |
| Entity Type | Organization |
| Organization Name | MAHADEEP VIRK DMD-EDMONDS PS |
| Other Organization Name | AVENUE DENTAL CARE |
| Practice Address |
23805 Highway 99 Suite 100 Edmonds WA 98026-9204 |
| Practice Telephone | 4257786333 |
| Practice Fax Number | 4257786115 |
| Mailing Telephone | 4257786333 |
| Mailing Fax Number | 4257786115 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MAHADEEP S VIRK (PRESIDENT) |
| Authorized Official Telephone | 4257786333 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Avenue Dental Care | Doing Business As Name - Organization |
| Street Address |
23805 HIGHWAY 99 SUITE 100 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-9204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699012989 | Jasmine Bassali | Dentist | 23805 Highway 99, Suite 100, Edmonds, WA 98026-9204 | 2013-01-07 |
| 1639371396 | Arpita Sharma | Dentist | 23805 Highway 99, Suite 100, Edmonds, WA 98026-9204 | 2007-06-04 |
| 1952502684 | Rattanjit K Bains | Dentist | 23805 Highway 99, Suite 100, Edmonds, WA 98026-9204 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| 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 |
|---|---|---|---|---|
| 1487006318 | James Nguyen Dmd Ps | Dentist | 7935 216th St Sw Ste C, Edmonds, WA 98026-7941 | 2016-07-03 |
| 1205232899 | Eric Kitts | Dentist | 201 5th Ave S Ste 103, Edmonds, WA 98020-3646 | 2014-11-10 |
| 1063609295 | Phillip Roe | Dentist | 21701 76th Ave W Ste 204, Edmonds, WA 98026-7536 | 2007-10-02 |
| 1902934912 | Jeffrey Brian Janison | Dentist | 615 5th Ave S, Edmonds, WA 98020-3452 | 2007-03-01 |
| 1720133861 | Eric D Kitts Dds Pllc | Dentist | 201 5th Ave S, Suite 103, Edmonds, WA 98020-3481 | 2007-01-25 |
| 1760575450 | Roger Arthur Anderson | Dentist | 7125 224th Street Sw, Edmonds, WA 98092 | 2006-10-02 |
| 1639260490 | Marvin R Nelson | Dentist | 209 Dayton St, Suite 101, Edmonds, WA 98020-3581 | 2006-09-27 |
| 1932111812 | Ed Cardiff | Dentist | 10014 238th St Sw, Edmonds, WA 98020-5735 | 2006-08-12 |
| 1609896810 | David Wayne Hopewell | Dentist | 7614 195th St Sw, Suite 102, Edmonds, WA 98026-6260 | 2006-07-20 |
| 1487601605 | David Apatoff | Dentist | 651 Edmonds Way, Suite C, Edmonds, WA 98020-4689 | 2006-05-31 |
| Find all providers in EDMONDS | ||||
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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.