SOUTHSIDE DENTAL CARE, INC. P.S. (NPI# 1609995927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609995927 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE DENTAL CARE, INC. P.S. |
| Practice Address |
1215 Old Fairhaven Pkwy Suite #a Bellingham WA 98225-7444 |
| Practice Telephone | 3607529000 |
| Practice Fax Number | 3607529846 |
| Mailing Telephone | 3607529000 |
| Mailing Fax Number | 3607529846 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DONALD THOMAS WALTERS (PRESIDENT) |
| Authorized Official Telephone | 3607529000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7450 | WA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SOUTHSIDE DENTAL CARE, INC. P.S. | 1215 Old Fairhaven Pkwy, Bellingham, WA 98225-7444 |
| Street Address |
1215 OLD FAIRHAVEN PKWY SUITE #A |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-7444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134266075 | Donald Thomas Walters | Dentist | 1215 Old Fairhaven Pkwy, Suite A, Bellingham, WA 98225-7444 | 2007-01-31 |
| 1871754952 | Peace Arch Cardiology, PC | Internal Medicine | 1215 Old Fairhaven Pkwy, Suite B, Bellingham, WA 98225-7444 | 2008-06-20 |
| 1417098609 | Eric Tkacsik | Chiropractor | 1215 Old Fairhaven Pkwy, Suite B, Bellingham, WA 98225-7444 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| 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 |
|---|---|---|---|---|
| 1750993911 | Megan Elizabeth Abdo | Dentist | 3628 Meridian St Ste 1b, Bellingham, WA 98225-1735 | 2020-08-19 |
| 1356993422 | Gillian Gayle Lim | Dentist | 3120 Howe Pl Ste 200, Bellingham, WA 98226-5634 | 2019-07-09 |
| 1578126728 | Erin Mcmanus Walsh Dmd Pllc | Dentist | 58 Mechanic St, Bellingham, MA 02019-1680 | 2019-04-15 |
| 1912463043 | Sunrise Dental of Bellingham | Dentist | 3800 Byron Ave., #100, Bellingham, WA 98229 | 2019-02-13 |
| 1790203560 | William G Nichols | Dentist | 2201 James St Ste A, Bellingham, WA 98225-4155 | 2017-08-31 |
| 1194274803 | Hardev Singh Dhillon | Dentist | 224 26th Street, Bellingham, WA 98225 | 2016-09-23 |
| 1013376938 | Courtney Robinson Schick | Dentist | 224 36th St, Bellingham, WA 98225-6540 | 2016-02-19 |
| 1255797478 | Jessica Marie Hudson | Dentist | 219 Hawthorne Rd, Bellingham, WA 98225-7719 | 2016-01-04 |
| 1497136667 | Halee Hyatt | Dentist | 1525 E Illinois St, Bellingham, WA 98226-3646 | 2015-06-14 |
| 1952719957 | David Alexander Gage | Dentist | 3136 Squalicum Pkwy Ste A, Bellingham, WA 98225-1955 | 2014-07-23 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
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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.