| Affordable Family Dentistry | |
|
20615 Bothell Everett Hwy Suite A Bothell WA 98012-8556 | |
| (425) 686-7797 | |
| Not Available |
| Full Name | Affordable Family Dentistry |
|---|---|
| Speciality | Clinic/Center |
| Location | 20615 Bothell Everett Hwy, Bothell, Washington |
| Authorized Official Name and Position | Henry Chiang (DENTIST) |
| Authorized Official Contact | 4256867797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affordable Family Dentistry 20615 Bothell Everett Hwy Suite A Bothell WA 98012-8556 Ph: (425) 686-7797 | Affordable Family Dentistry 20615 Bothell Everett Hwy Suite A Bothell WA 98012-8556 Ph: (425) 686-7797 |
| NPI Number | 1548626351 |
|---|---|
| Provider Enumeration Date | 01/08/2016 |
| Last Update Date | 10/07/2021 |
| Medicare PECOS PAC ID | 8325437254 |
|---|---|
| Medicare Enrollment ID | O20211116000903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548626351 | NPI | - | NPPES |
| 1831106293 | Medicaid | WA | |
| 1174923817 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60305935 (Washington) | Secondary |
| 122300000X | Dentist | DE60505765 (Washington) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Henry K Chiang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1831106293 PECOS PAC ID: 9234528167 Enrollment ID: I20211116001227 |
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