WASHINGTON DENTAL CORPORATION, PC (NPI# 1679127922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679127922 |
| Entity Type | Organization |
| Organization Name | WASHINGTON DENTAL CORPORATION, PC |
| Other Organization Name | DENTISTS OF LAKELAND HILLS |
| Practice Address |
7084 Lakeland Hills Way Suite 104 Auburn WA 98092 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 2533295083 |
| Practice Fax Number | 2539995282 |
| Mailing Telephone | 7148458500 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | DULCE GOMEZ (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 7148458701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dentists of Lakeland Hills | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1295371128 | Washington Dental Corporation, PC | Dentist | 732 Shaw Rd Ste B, Puyallup, WA 98372-5276 | 2019-11-26 |
| 1457902595 | Washington Dental Corporation, PC | Dentist | 2235 148th Ave Ne, Bellevue, WA 98007-3726 | 2019-09-20 |
| 1386299428 | Washington Dental Corporation, PC | Dentist | 12502 Mukilteo Speedway, Mukilteo, WA 98275-5730 | 2019-08-06 |
| 1255894176 | Washington Dental Corporation, PC | Dentist | 2729 N Pearl St, Tacoma, WA 98407 | 2019-04-08 |
| 1891258711 | Washington Dental Corporation, PC | Dentist | 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 | 2019-04-08 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1124510276 | Washington Dental Corporation, PC | Dentist | 27237 172nd Ave Se Ste 105a, Covington, WA 98042-7352 | 2018-06-05 |
| 1750885471 | Washington Dental Corporation, PC | Dentist | 1519 132nd St Se Ste G, Everett, WA 98208-7203 | 2018-03-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WASHINGTON DENTAL CORPORATION, PC | 17000 Red Hill Ave, Irvine, CA 92614-5626 |
| Oregon Corporations, Companies and Business Names | WASHINGTON DENTAL CORPORATION, PC | 17000 Red Hill Ave, Irvine, CA 92614 |
| Street Address |
7084 LAKELAND HILLS WAY SUITE 104 |
| City | AUBURN |
| State | WA |
| Zip Code | 98092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659854784 | Brady Glenn Christoph | Physical Therapist | Auburn School District, 29205 132nd Ave Se, Auburn, WA 98092 | 2018-09-14 |
| 1588110217 | Elonna Alexanderovna Korolchuk | Nurse's Aide | 11223 Se 309th St, Auburn, WA 98092 | 2016-09-01 |
| 1053754416 | Alex E Broady | Counselor | 17300 Se 392nd Street, Auburn, WA 98092 | 2013-04-16 |
| 1801154828 | Aaron Soto Valencia | Counselor | 39101 180th Ave Se, Auburn, WA 98092 | 2012-04-27 |
| 1447467188 | D Lyn Dyan Lee | Massage Therapist | 1408 Lake Tapps Parkway East, Suite E106, Auburn, WA 98092 | 2007-05-16 |
| 1497817415 | Dale Allen Hansen | Chiropractor | 3321 Auburn Way South, Suite G, Auburn, WA 98092 | 2006-12-15 |
| 1922176874 | Kimberly B Fisher | Physical Therapist | 1408 Lake Tapps Parkway E, Suite E106, Auburn, WA 98092 | 2006-11-30 |
| 1760575450 | Roger Arthur Anderson | Dentist | 7125 224th Street Sw, Edmonds, WA 98092 | 2006-10-02 |
| 1053479907 | Nancy Louise Johnson | Physical Therapist | 1408 Lake Tapps Parkway E, Suite E106, Auburn, WA 98092 | 2006-12-04 |
| 1487005047 | Kevin Smith | Massage Therapist | 19615 Se 342nd St, Auburn, WA 98092-1500 | 2016-06-24 |
| Find all providers in zip 98092 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215427943 | S.y.y Jang Dds Corp | Dentist | 500 Auburn Folsom Rd Ste 330c, Auburn, CA 95603-5645 | 2018-05-17 |
| 1487189528 | Washburn Family Dental Care, Inc | Dentist | 2164 Moores Mill Rd, Auburn, AL 36830-8447 | 2017-04-26 |
| 1861949638 | Linh K Nguyen Dds Pllc | Dentist | 1002 Harvey Rd Ne, Auburn, WA 98002-4220 | 2016-09-08 |
| 1154878486 | Singh Im Pllc | Dentist | 1030 Outlet Collection Way Sw, Auburn, WA 98001-6537 | 2016-09-02 |
| 1174973515 | Calvin Kenley | Dentist | 26 Cross St Unit 5, Auburn, ME 04210-6131 | 2016-06-16 |
| 1376904516 | Elizabeth Hersey | Dentist | 1578 Clark Street Rd, Suite 1, Auburn, NY 13021-9543 | 2016-03-16 |
| 1649644667 | Central Ma Orthodontic Associates, P.C. | Dentist | 325 Southbridge St, Auburn, MA 01501-2595 | 2015-11-16 |
| 1871963090 | Jonathan William Ruminson | Dentist | 11209 Redhawk Ct, Auburn, CA 95602-7616 | 2015-09-30 |
| 1679943120 | Nikhat Dental PC | Dentist | 78 E Genesee St, Auburn, NY 13021-4290 | 2015-09-27 |
| 1184009425 | Eric Scott Muff | Dentist | 12065 Persimmon Ter, Auburn, CA 95603-3853 | 2015-07-28 |
| Find all providers in AUBURN | ||||
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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.