DR. HOMAYOON FOTOVATJAH (NPI# 1730315375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730315375 |
| Entity Type | Individual |
| Full Name | DR. HOMAYOON FOTOVATJAH |
| Credential | DDS |
| Practice Address |
1314 Union Ave Ne #8 Renton WA 98059-3959 |
| Practice Telephone | 4252279774 |
| Mailing Telephone | 4252279774 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00006854 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5019823 | 05 |
| Street Address |
1314 UNION AVE NE #8 |
| City | RENTON |
| State | WA |
| Zip Code | 98059-3959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316265002 | Sunset Dental Center | Dentist | 1314 Union Ave Ne, Suite 8, Renton, WA 98059-3959 | 2010-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346724358 | Vanessa Sequeira | Massage Therapist | 13293 Newcastle Commons Dr, Newcastle, WA 98059 | 2018-09-17 |
| 1417477720 | Karen Apple | Behavior Technician | 13804 Se 76th Pl, Newcastle, WA 98059 | 2017-06-27 |
| 1992234256 | Justin Studer | Massage Therapist | 950 Field Ave Ne, Renton, WA 98059 | 2017-06-08 |
| 1770983306 | Pooja Walia Bhardwaj | Dentist | 6935 Coal Creek Pkwy Se, Newcastle, WA 98059 | 2014-09-02 |
| 1487799334 | Ai-lien Ngoc Sperry | Dentist | 4820 Ne 4th St, Suite A-108, Renton, WA 98059 | 2007-02-20 |
| 1225172711 | Vicki L Finesilver-quinn | Social Worker | 13741 148th Pl. Se, Renton, WA 98059 | 2007-02-16 |
| 1467511535 | Baljinder S Buttar | Dentist | 4501 Ne 4th St, Suite A, Renton, WA 98059 | 2006-12-06 |
| 1992892913 | Kevin Keith Kay | Dentist | 4444 Ne Sunset Blvd, Suite 3, Renton, WA 98059 | 2006-10-10 |
| 1194714790 | Dale E Epper Md | Family Medicine | 4444 Sunset Blvd, Dale E Epper Md Dba Highlands Family Practice, Renton, WA 98059 | 2005-10-17 |
| 1497219661 | Evelyn Faith Lafferty | Massage Therapist | 6985 Coal Creek Pkwy Se, Newcastle, WA 98059 | 2019-01-22 |
| Find all providers in zip 98059 | ||||
| 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 |
|---|---|---|---|---|
| 1639799471 | Fairwood Dental LLC | Dentist | 14250 Se 176th #j7, Renton, WA 98058 | 2020-04-22 |
| 1134775042 | Kristi Lynn Pedersen | Dentist | 17816 108th Ave Se, Renton, WA 98055-6419 | 2019-08-15 |
| 1932674330 | Andi Liou | Dentist | 4625 Ne 3rd Ln Unit G4, Renton, WA 98059-5272 | 2018-10-11 |
| 1336621549 | Xuelian Huang | Dentist | 525 Park Ave N Ste B, Renton, WA 98057-5522 | 2018-09-04 |
| 1093292385 | Charles Wenchao Hu | Dentist | 17220 140th Ave Se Ste C, Renton, WA 98058-7000 | 2018-07-19 |
| 1992157838 | Suzanna Bonard Mcaninley | Dentist | 955 Park Ave N, Suite D, Renton, WA 98057-5560 | 2016-07-04 |
| 1619250016 | Sam D.k. Kim, Dmd, Pllc | Dentist | 1412 Sw 43rd St Ste 109, Renton, WA 98057-4803 | 2011-09-21 |
| 1447554209 | Daniel Y.go, D.d.s., P.s. | Dentist | 1002 Park Ave N, Suite K, Renton, WA 98057-5632 | 2011-01-07 |
| 1144533316 | Steven L. Paige Dds & Kenza Houki Dmd Renton Pllc | Dentist | 3900 East Valley Rd. Suite 203, Renton, WA 98057 | 2010-07-16 |
| 1588821466 | My Dental | Dentist | 507 Williams Ave S, Renton, WA 98057-2746 | 2008-05-19 |
| Find all providers in RENTON | ||||
Please comment or provide details below to improve the information on DR. HOMAYOON FOTOVATJAH.
| 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.