PLATEAU KIDS DENTISTRY, LLC (NPI# 1740807890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740807890 |
| Entity Type | Organization |
| Organization Name | PLATEAU KIDS DENTISTRY, LLC |
| Practice Address |
2912 228th Ave Se Ste A Sammamish WA 98075-9305 |
| Mailing Address |
12316 5th Ave Ne Seattle WA 98125-4802 |
| Practice Telephone | 4253941234 |
| Enumeration Date | 2020-07-05 |
| Last Update Date | 2020-07-05 |
| Authorized Official Name | AMELIA CHIM (OWNER DENTIST) |
| Authorized Official Telephone | 2063839338 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Plateau Dentistry for Children | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PLATEAU KIDS DENTISTRY, LLC | 2912 228th Ave Se Ste A, Sammamish, WA 98075-9305 |
| Street Address |
2912 228TH AVE SE STE A |
| City | SAMMAMISH |
| State | WA |
| Zip Code | 98075-9305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639717 | Atsugi LLC | Skilled Nursing Facility | 23815 Se 28th St, Sammamish, WA 98075 | 2019-10-02 |
| 1184135808 | Alliance Healthcare Technolgies | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1781 267th Ct Se, Sammamish, WA 98075 | 2017-10-20 |
| 1508395013 | Ameeta M Desai | Physical Therapist | 24204 Se 14th Ct, Sammamish, WA 98075 | 2017-06-08 |
| 1013119494 | Betty Jane Hartwell | Massage Therapist | 3310d E Lk Sammamish Pkwy Se, Sammamish, WA 98075 | 2007-06-05 |
| 1699860908 | Andrea Lynn Hutton | Physical Therapist | 21018 Se 24th St, Sammamish, WA 98075 | 2006-10-03 |
| 1558752170 | Mollie Marie Sharp | Registered Nurse | 22717 Se 29th St Ste D-101, Sammamish, WA 98075 | 2015-02-18 |
| 1720209810 | Amy L Tait | Physical Therapist | 22739 Se 29th St, Sammamish, WA 98075 | 2007-05-02 |
| 1790133791 | Maria Faires | Dietitian, Registered | 2841 275th Ave Se, Sammamish, WA 98075-4214 | 2016-05-31 |
| 1578935714 | Ariel Folsom Hubbard | Massage Therapist | 4425 Issaquah Pine Lake Rd Se Apt Y14, Sammamish, WA 98075-5201 | 2015-10-27 |
| 1740611532 | Kei Kinoshita | Massage Therapist | 4323 Issaquah Pine Lake Rd Se, Unit 503, Sammamish, WA 98075-5266 | 2013-12-05 |
| Find all providers in zip 98075 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275989196 | Aa Bansal 2 | Dentist | 615 Windsor Dr Se, Sammamish, WA 98074-3422 | 2016-05-10 |
| 1538193552 | Warren Y. Aka | Dentist | 2912 228th Ave Se, Suite A, Sammamish, WA 98075-9305 | 2006-07-10 |
| 1003211772 | Ryan Walker Dds Pllc | Dentist | 336 228th Ave Ne, Ste 301, Sammamish, WA 98074-7289 | 2014-10-23 |
| 1922270073 | Ryan Jeffery Walker | Dentist | 336 228th Ave Ne, Suite 301, Sammamish, WA 98074-7289 | 2008-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528603503 | Ellen Polsky Dds and Bobby Virk Dmd, Ps | Dentist | 34704 11th Pl S Ste 101, Federal Way, WA 98003-8730 | 2019-11-13 |
| 1942843552 | Laura Stewart Dds Pllc | Dentist | 6821 Ne 181st St, Kenmore, WA 98028-5034 | 2019-10-26 |
| 1639736119 | Southcenter Children's Dentistry | Dentist | 411 Strander Blvd Ste 303, Tukwila, WA 98188-2924 | 2019-05-21 |
| 1770147001 | Kaitlin Neste Pllc | Dentist | 360 Tormey Ln Ne Ste 198, Bainbridge Island, WA 98110-1990 | 2019-04-22 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1497248017 | Jinju Song Dmd Pllc | Dentist | 9707 Ne 119th Way, Kirkland, WA 98034-8955 | 2018-06-08 |
| 1861999864 | Peter Douglas | Dentist | 32105 1st Ave S Ste B3, Federal Way, WA 98003-5719 | 2018-04-07 |
| 1669994042 | Annikka Louise Frostad-thomas | Dentist | 700 Nw Gilman Blvd # E412, Issaquah, WA 98027-5395 | 2017-07-07 |
| 1831624402 | Minh Dau, Dds and Raymond Park, Dds Pllc | Dentist | 3105 Alderwood Mall Blvd, Suite 117, Lynnwood, WA 98036-4703 | 2017-04-20 |
| 1306370572 | Sonu Lamba and Paul S Kahlon, Ps | Dentist | 13209 44th Ave Se, Mill Creek, WA 98012-8985 | 2017-04-14 |
| 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.