| Bellevue Orthodontics And Smile Design | |
|
1515 116th Ave Ne, Suite 105 Bellevue WA 98004 | |
| (425) 382-7559 | |
| Not Available |
| Full Name | Bellevue Orthodontics And Smile Design |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1515 116th Ave Ne, Suite 105, Bellevue, Washington |
| Authorized Official Name and Position | George B Bridgforth (ADMINISTRATOR) |
| Authorized Official Contact | 2063553395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellevue Orthodontics And Smile Design 1515 116th Ave Ne, Suite 105 Bellevue WA 98004 Ph: (425) 382-7559 | Bellevue Orthodontics And Smile Design 1515 116th Ave Ne, Suite 105 Bellevue WA 98004 Ph: (425) 382-7559 |
| NPI Number | 1598336380 |
|---|---|
| Provider Enumeration Date | 07/02/2021 |
| Last Update Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598336380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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