ADVANCED DENTAL & DENTURE PLLC (NPI# 1760734842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760734842 |
| Entity Type | Organization |
| Organization Name | ADVANCED DENTAL & DENTURE PLLC |
| Other Organization Name | ADVANCED DENTAL & DENTURE |
| Practice Address |
17694 1st Ave S Burien WA 98148-1729 |
| Practice Telephone | 2063356468 |
| Mailing Telephone | 2063356468 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |
| Authorized Official Name | QUOC WAN NGO (OWNER DENTURIES) |
| Authorized Official Telephone | 2063356468 |
| Authorized Official Credential | LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122400000X | Denturist | DN00000449 | WA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00010512 | WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Advanced Dental & Denture | Doing Business As Name - Organization |
| Street Address |
17694 1ST AVE S |
| City | BURIEN |
| State | WA |
| Zip Code | 98148-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851491955 | Ashley Clippard | Physical Therapist | 17694 1st Ave S, Suite A, Burien, WA 98148-1729 | 2006-09-25 |
| 1366991507 | Pham T Huynh V Huynh Pllc | Dentist | 17694 1st Ave S, Suite B, Burien, WA 98148 | 2016-09-29 |
| 1326148420 | Andrea Hamilton | Physical Therapist | 17694 1st Ave S, Suite A, Burien, WA 98148-1729 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871127894 | Meghan Eileen Spain | Dentist | 1810 8th Ave S, Seatac, WA 98148 | 2020-02-28 |
| 1346615978 | Tawnesha R Hector | Massage Therapist | 15858 1st Ave South, Suite A104, Burien, WA 98148 | 2015-12-08 |
| 1043552862 | Prashant Gupta | Family Medicine | 16045 1st Ave S # F1, Burien, WA 98148 | 2013-03-19 |
| 1205177110 | Lucy Krakowiak | Massage Therapist | 15858 - 1st Ave South, Ste A104, Burien, WA 98148 | 2013-03-04 |
| 1467639765 | Zahra Anne Young | Physical Therapist | 17692 1st Ave. South, Normandy Park, WA 98148 | 2008-01-29 |
| 1962694224 | Thomas Wayne Pllc | Chiropractor | 15858 1st Avenue South, Suite #a104, Burien, WA 98148 | 2007-08-10 |
| 1063616316 | Highline School District | Counselor | 15675 8th Avenue S, Burien, WA 98148 | 2007-06-12 |
| 1487798682 | Stephanie Rene Lillejord | Massage Therapist | 308 S 184th St, Burien, WA 98148 | 2007-02-19 |
| 1548335169 | Affordable Dental Care | Dentist | 15726 1st Ave S, Burien, WA 98148 | 2006-11-21 |
| 1568967610 | Jacqueline Anne Meier | Massage Therapist | 15858 1st Ave South, Ste# A104, Burien, WA 98148 | 2018-03-29 |
| Find all providers in zip 98148 | ||||
| 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 |
|---|---|---|---|---|
| 1073887550 | Sonika Singla, Dmd, Pllc | Dentist | 14212 Ambaum Blvd Sw # Ll1, Burien, WA 98166-1449 | 2012-03-01 |
| 1881927440 | Kyle Michael Beffa | Dentist | 124 S Normandy Rd, Burien, WA 98148-1708 | 2009-09-15 |
| 1245469360 | Sonika Singla | Dentist | 14212 Ambaum Blvd Sw Ste 1, Burien, WA 98166-1437 | 2009-07-10 |
| 1043406507 | Ji Kim-aun, Dds, Prasith Kim-aun, Dds, Pllc | Dentist | 14400 Ambaum Blvd Sw, Suite Q, Burien, WA 98166-1446 | 2007-09-19 |
| 1346462215 | Sabrina Marie Mandich | Dentist | 207 - Sw 156th Street, Suite #1, Burien, WA 98166-2561 | 2007-05-02 |
| 1841414174 | Sherrill Martin Conner | Dentist | 322 155th Street Sw, Suite A, Burien, WA 98166-2590 | 2007-04-11 |
| 1912029851 | Toni Calvo Waldbaum | Dentist | 207 Sw 156th Street, Suite #4, Burien, WA 98166-2561 | 2007-04-04 |
| 1528113677 | David W Larson | Dentist | 216 Sw 156th St Ste 2b, Burien, WA 98166-2566 | 2007-01-25 |
| 1780757724 | Richard Y. Nomura | Dentist | 322 Sw 155th St Ste B, Burien, WA 98166-2590 | 2006-11-16 |
| 1578632139 | Randall Clark Olson | Dentist | 610 Sw 152nd St, Burien, WA 98166-2213 | 2006-11-07 |
| Find all providers in BURIEN | ||||
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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.