EDWARD PHILLIP KISS (NPI# 1598938458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598938458 |
| Entity Type | Individual |
| Full Name | EDWARD PHILLIP KISS |
| Credential | DMD |
| Practice Address |
5012 58th Avenue Ct W University Place WA 98467-3689 |
| Mailing Address |
14315 62nd Ave Nw Gig Harbor WA 98332-8664 |
| Practice Telephone | 2535660456 |
| Mailing Telephone | 2538514025 |
| Mailing Fax Number | 2538536352 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6169 | WA | Dental Providers |
| Street Address |
5012 58TH AVENUE CT W |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip Code | 98467-3689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218927 | Juliette Gallardo-zamora | Behavioral Analyst | 5915 Orchard St. W, Tacoma, WA 98467 | 2019-10-30 |
| 1306310925 | Nancy Rubi Rosas Rodriguez | Counselor | 5915 Orchard St W., Tacoma, WA 98467 | 2019-01-16 |
| 1801309091 | Penny L Crawford | Registered Nurse | 5424 57th Ave Ct. W., G8, University Place, WA 98467 | 2017-11-09 |
| 1316465578 | C.f. Bridgeport, LLC | Assisted Living Facility | 5250 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1265950422 | University Place Rehabilitation Center, LLC | Skilled Nursing Facility | 5520 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1689127037 | Rachel Ann Cruz | Counselor | 5915 Orcahrd St W, Tacoma, WA 98467 | 2016-08-02 |
| 1396099313 | Ryan Jack Holbrook | Massage Therapist | 6915 Lakewood Dr W Unit A2, Tacoma, WA 98467 | 2012-10-29 |
| 1740519701 | Laura Jean Hubert | Physical Therapist | 5520 Bridgeport Way, University Place, WA 98467 | 2009-12-21 |
| 1437395548 | Karen Marie Noyes | Occupational Therapy Assistant | 5520 Bridgeport Way West, University Place, WA 98467 | 2008-12-18 |
| 1770751083 | Orchard Medical Clinic | Internal Medicine | 5320 Orchard St W, University Place, WA 98467 | 2008-02-20 |
| Find all providers in zip 98467 | ||||
| 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 |
|---|---|---|---|---|
| 1932740271 | Seok W. Nichols I, Dds, Ps | Dentist | 2607 Bridgeport Way W Ste 1k, University Place, WA 98466-4725 | 2019-10-07 |
| 1801381801 | Melanie Jean Jenkins | Dentist | 7210 40th St W Ste 320, University Place, WA 98466-4319 | 2018-06-22 |
| 1427403765 | Wesley Cheng | Dentist | 3708 Bridgeport Way W, University Place, WA 98466-4419 | 2016-04-24 |
| 1295945210 | Hong Holly Lu | Dentist | 7820 27th St W, University Place, WA 98466-4111 | 2007-05-22 |
| 1568595312 | George J Grobins Dds Ps | Dentist | 7810 West 27th St, University Place, WA 98466-4111 | 2007-03-13 |
| 1093863599 | Dacia Helen Larkin | Dentist | 3670 Bridgeport Way W, University Place, WA 98466-4413 | 2007-01-08 |
| 1992872428 | Randal J Swanlund | Dentist | 7120 40th St W Ste C, University Place, WA 98466-5000 | 2006-11-29 |
| 1629147376 | Marlin K Sakata | Dentist | 4111 Bridgeport Way West, Suite A, University Place, WA 98466 | 2006-11-07 |
| 1174602106 | Ken P Ring | Dentist | 4111 Bridgeport Way W, University Place, WA 98466-4327 | 2006-11-02 |
| 1679679674 | J Mark Burnett Dds Ps | Dentist | 2603 Bridgeport Way W, Suite I, University Place, WA 98466-4724 | 2006-09-16 |
| Find all providers in UNIVERSITY PLACE | ||||
| City | UNIVERSITY PLACE |
| Zip Code | 98467 |
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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.