DR. JESSICA R SWOBODA (NPI# 1639416183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639416183 |
| Entity Type | Individual |
| Full Name | DR. JESSICA R SWOBODA |
| Credential | DDS,MSD |
| Practice Address |
10050 Ne 10th St # Stc Bellevue WA 98004-4121 |
| Practice Telephone | 4524552020 |
| Practice Fax Number | 4254550310 |
| Mailing Telephone | 4524552020 |
| Mailing Fax Number | 4254550310 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
00010111 | WA | Dental Providers |
| Street Address |
10050 NE 10TH ST # STC |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-4121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235683830 | Phillip Crum | Dentist | 2581 Development Dr Ste 204, Bellevue, WI 54311-4248 | 2016-08-11 |
| 1225445539 | Implant & Periodontic Specialists | Dentist | 1418 112th Ave Ne Suite 100, Bellevue, WA 98004 | 2014-07-18 |
| 1508102120 | Premier Periodontics Pplc | Dentist | 10050 Ne 10th St Suite C, Bellevue, WA 98004 | 2012-12-31 |
| 1861791915 | Rosemary Thomas | Dentist | 14655 Ne Bel Red Rd Ste 202, Bellevue, WA 98007-3900 | 2011-03-15 |
| 1114049574 | Huda Albather | Dentist | 14700 Ne 8th St Ste 205, Bellevue, WA 98007-4115 | 2007-04-05 |
| 1750402285 | Cheryl L Townsend | Dentist | 14420 Bel Red Rd Ste 101, Bellevue, WA 98007-3930 | 2007-04-02 |
| 1912053836 | Toyo Matsumoto | Dentist | 3316 129th Ave Ne, Bellevue, WA 98005-1347 | 2007-01-25 |
| 1346328523 | Erika Smith Macdonald | Dentist | 121 112th Ave Ne, Suite A, Bellevue, WA 98004 | 2006-11-02 |
| 1821625989 | Rosemary Thomas, Pllc | Dentist | 14655 Ne Bel Red Rd Ste 202, Bellevue, WA 98007-3900 | 2020-03-26 |
| 1962933150 | Edward Im Dds Ps | Dentist | 1200 112th Ave Ne, C222, Bellevue, WA 98004-3732 | 2017-03-21 |
| Find all providers in BELLEVUE | ||||
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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.