GOOD DENTAL & DENTURES (NPI# 1629381348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629381348 |
| Entity Type | Organization |
| Organization Name | GOOD DENTAL & DENTURES |
| Other Organization Name | EXCEL DENTAL & DENTURES |
| Practice Address |
20015 Highway 99 Ste D Lynnwood WA 98036-6073 |
| Practice Telephone | 4257748590 |
| Practice Fax Number | 4257748509 |
| Mailing Telephone | 4257748590 |
| Mailing Fax Number | 4257748509 |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |
| Authorized Official Name | JAY CHOI (OWNER) |
| Authorized Official Telephone | 4257748590 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | DN00000454 | WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Excel dental & dentures | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | GOOD DENTAL & DENTURES, INC. | 20015 Highway 99 Ste D, Lynnwood, WA 98036-6073 |
| Street Address |
20015 HIGHWAY 99 STE D |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-6073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649712324 | Natalia Lukashova | Denturist | 3226 208th Pl Sw, Lynnwood, WA 98036-7884 | 2016-11-10 |
| 1831594209 | Gene Melner | Denturist | 7411 196th St Sw, Lynnwood, WA 98036-5052 | 2014-10-28 |
| 1922293471 | Jin U Lee | Denturist | 18009 Hwy 99 Ste C, Lynnwood, WA 98037-4499 | 2007-09-07 |
| 1083831697 | Eun Joon Choi | Denturist | 16328 22nd Ave W, Unit#a, Lynnwood, WA 98087-2540 | 2007-04-18 |
| 1659458990 | Szilard Zombor | Denturist | 2027 196th St Sw, R1, Lynnwood, WA 98036-7073 | 2006-11-01 |
| 1306211479 | Oleksandr P Stasyuk | Denturist | 7411 196th St Sw, Lynnwood, WA 98036-5052 | 2015-12-01 |
| 1437376068 | Andon Dan Allen | Denturist | 6226 196th St Sw, 2b, Lynnwood, WA 98036-5959 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427689421 | Tri-cities Denture Studio Pllc | Denturist | 3909 Creekside Loop Ste 110, Yakima, WA 98902-4880 | 2020-01-29 |
| 1447894811 | Michael Hu | Denturist | 430 N West Ave Ste 3, Arlington, WA 98223-1539 | 2019-10-29 |
| 1265999494 | Sagebrush Dental LLC | Denturist | 1114 N Mission St Ste C, Wenatchee, WA 98801-6711 | 2019-02-24 |
| 1295299113 | Stephanie Jean Hemenway | Denturist | 209 W Main Ave., Morton, WA 98356 | 2019-01-24 |
| 1538633664 | Trang Phung | Denturist | 1242 State Ave Ste G, Marysville, WA 98270-3672 | 2019-01-11 |
| 1053884338 | Juan Edward Berlanga | Denturist | 654 N Rochester St, Tacoma, WA 98406-1724 | 2019-01-09 |
| 1346713765 | Cody M Dunivin | Denturist | 129 Valley Meadows Dr, Chehalis, WA 98532-8652 | 2019-01-08 |
| 1841765682 | Andrew Payne | Denturist | 714 N Chelan Ave, Wenatchee, WA 98801-2069 | 2018-10-08 |
| 1154811982 | Jayson Allen Laney | Denturist | 4001 Colby Ave Ste 2, Everett, WA 98201-6208 | 2018-05-17 |
| 1932697117 | Jason Lee Alsbury | Denturist | 1715 W Kennewick Ave, Kennewick, WA 99336-3378 | 2018-04-24 |
| Find all providers with the same taxonomy | ||||
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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.