DR. CLEM C PELLETT (NPI# 1922013507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922013507 |
| Entity Type | Individual |
| Full Name | DR. CLEM C PELLETT |
| Credential | DDS |
| Practice Address |
1800 116th Ave Ne Suite 101 Bellevue WA 98004-3043 |
| Practice Telephone | 4254545091 |
| Practice Fax Number | 4254545330 |
| Mailing Telephone | 4254545091 |
| Mailing Fax Number | 4254545330 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D6123 | OR | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D-3240-05 | ID | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DE00005956 | WA | Dental Providers |
| Street Address |
1800 116TH AVE NE SUITE 101 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871592014 | Peggy Kibbel | Nurse Practitioner | 1800 116th Ave Ne, Suite 201, Bellevue, WA 98004-3043 | 2005-07-19 |
| 1851758353 | Melisa Lin, Dmd, Pllc | Dentist | 1800 116th Ave Ne, Suite #105, Bellevue, WA 98004-3043 | 2016-01-28 |
| 1457732307 | Posner & Barbizam Pllc | Dentist | 1800 116th Ave Ne, Suite #202, Bellevue, WA 98004-3043 | 2015-06-17 |
| 1497049696 | Melisa Lin | Dentist | 1800 116th Ave Ne, Suite #105, Bellevue, WA 98004-3043 | 2011-06-06 |
| 1891949871 | Janice Lynn Driver | Psychologist | 1800 116th Ave Ne, Suite 104, Bellevue, WA 98004-3043 | 2008-11-04 |
| 1124295423 | William Gregory Young Jr. | Otolaryngology | 1800 116th Ave Ne, Suite 102, Bellevue, WA 98004-3043 | 2008-05-15 |
| 1275726739 | Proliance Surgeons, Inc., P.s. | Otolaryngology | 1800 116th Ave Ne, Suite 102, Bellevue, WA 98004-3043 | 2007-08-19 |
| 1104949239 | Donald Alan Snyder | Dentist | 1800 116th Ave Ne, Suite 105, Bellevue, WA 98004-3043 | 2007-04-06 |
| 1912028952 | Donald Snyder, Dds, Ps | Dentist | 1800 116th Ave Ne, Suite 105, Bellevue, WA 98004-3043 | 2007-04-03 |
| 1578660619 | James David Johnson | Dentist | 1800 116th Ave Ne, Suite 202, Bellevue, WA 98004 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144797499 | Washington Jaw and Facial Surgery Pllc | Dentist | 1370 116th Ave Ne Ste 101, Bellevue, WA 98004-3825 | 2018-10-25 |
| 1164512869 | Douglas L. Trippel | Dentist | 14420 Bel Red Rd Ste 201, Bellevue, WA 98007-3930 | 2006-10-13 |
| 1790898708 | James Ervin Reed | Dentist | 1855 156th Ave Ne Ste 101, Bellevue, WA 98007-4386 | 2006-08-16 |
| 1316966658 | Roger S Chin | Dentist | 12600 Se 38th St, Ste 100, Bellevue, WA 98006-6105 | 2006-07-18 |
| 1265408108 | James C Rice and Robert J Dixey Dds Ps | Dentist | 1855 156 Ave Ne, Ste 101, Bellevue, WA 98007 | 2006-02-28 |
| 1356325989 | Hirbod Rowshan | Dentist | 12715 Ne Bel Red Rd Ste 130, Bellevue, WA 98005-2627 | 2005-12-06 |
| 1255337853 | Lorne D. Trimble | Dentist | 1370 116th Ave Ne, Ste 101, Bellevue, WA 98004-3825 | 2005-06-28 |
| 1144760992 | James M. Thomas, P.s. | Dentist | 1200 112th Ave Ne, C250, Bellevue, WA 98004-3732 | 2017-02-27 |
| 1588112957 | Eastside Oral Surgery Associates | Dentist | 1855 156th Ave Ne, Ste 101, Bellevue, WA 98007-4386 | 2016-09-14 |
| 1992183594 | The Center for Oral & Maxillofacial Surgery | Dentist | 12715 Ne Bel Red Rd Ste 130, Bellevue, WA 98005-2627 | 2015-05-14 |
| Find all providers in BELLEVUE | ||||
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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.