DR. PETER D. AGNOS (NPI# 1689659245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689659245 |
| Entity Type | Individual |
| Full Name | DR. PETER D. AGNOS |
| Credential | D.D.S. |
| Practice Address |
931 Pacific Ave Everett WA 98201-4146 |
| Practice Telephone | 4252521136 |
| Practice Fax Number | 4252591235 |
| Mailing Telephone | 4252521136 |
| Mailing Fax Number | 4252591235 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DE00004468 | WA | Dental Providers |
| Street Address |
931 PACIFIC AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| 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 |
|---|---|---|---|---|
| 1932235116 | Salvatore Anthony Leone | Dentist | 10814 19th Ave Se, Everett, WA 98208-5153 | 2007-02-24 |
| 1093872541 | Gerald R. Grasso Dmd,pc | Dentist | 816 Broadway, Everett, MA 02149-3026 | 2007-01-03 |
| 1649674706 | Graig Erickson, D.d.s., M.s.d., Pllc | Dentist | 10814 19th Ave Se, Everett, WA 98208-5153 | 2014-10-18 |
| 1265787287 | Graig Erickson | Dentist | 10814 19th Ave Se, Everett, WA 98208-5153 | 2012-07-16 |
| 1497916217 | Gerald R Grasso | Dentist | 816 Broadway, Everett, MA 02149-3026 | 2008-06-24 |
| 1366624629 | Pamela A Nicoara Dds Msd Pllc | Dentist | 3125 Colby Ave, Suite H, Everett, WA 98201-4032 | 2007-11-28 |
| 1962614719 | Pamela Adrienne Nicoara | Dentist | 3125 Colby Ave, Suite H, Everett, WA 98201-4032 | 2007-05-04 |
| 1497840714 | Janet Marie Miesel | Dentist | 10515 20th St Se Ste 201, Everett, WA 98205-2035 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653397 | Rika Takada | Dentist | B403 Health Sciences Building, Seattle, WA 98195-0001 | 2020-06-14 |
| 1467074757 | Amit Srikant Gharpure | Dentist | 1959 Ne Pacific Street Health Science Center Room B-403, Seattle, WA 98195-0001 | 2020-05-10 |
| 1922632843 | Jessica Hsu | Dentist | 625 4th Ave Ste 201, Kirkland, WA 98033-9028 | 2020-02-29 |
| 1992338891 | Ehsan Zahedi | Dentist | 18009 Highway 99 Ste F, Lynnwood, WA 98037-4499 | 2020-02-19 |
| 1780142729 | Shoko Sato | Dentist | 2505 S 320th St Ste 330, Federal Way, WA 98003-5461 | 2019-03-08 |
| 1942738497 | Yu Lwo | Dentist | 1740 Nw Maple St Ste 110, Issaquah, WA 98027-8000 | 2017-05-30 |
| 1134677792 | Mill Creek Implants & Periodontics | Dentist | 15130 Main St Ste 210, Mill Creek, WA 98012-7370 | 2016-09-13 |
| 1164890026 | Shih-chung Liao | Dentist | 720 Olive Way Ste 810, Seattle, WA 98101-1836 | 2015-09-09 |
| 1225445539 | Implant & Periodontic Specialists | Dentist | 1418 112th Ave Ne Suite 100, Bellevue, WA 98004 | 2014-07-18 |
| 1093147068 | Etheridge Family Dentistry | Dentist | 3130 E Madison St Ste 103, Seattle, WA 98112-4221 | 2013-08-01 |
| 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.