| Woodinville Pediatric Dentistry | |
|
17000 140th Ave Ne Suite 302 Woodinville WA 98072-6928 | |
| (425) 402-8393 | |
| (425) 402-8394 |
| Full Name | Woodinville Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 17000 140th Ave Ne, Woodinville, Washington |
| Authorized Official Name and Position | Greg Emens (BUSINESS MANAGER) |
| Authorized Official Contact | 4254028393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodinville Pediatric Dentistry 17000 140th Ave Ne Suite 302 Woodinville WA 98072-6928 Ph: (425) 402-8393 | Woodinville Pediatric Dentistry 17000 140th Ave Ne Suite 302 Woodinville WA 98072-6928 Ph: (425) 402-8393 |
| NPI Number | 1699962670 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 10/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699962670 | NPI | - | NPPES |
| 5053665 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE00010338 (Washington) | Primary |
Daya Bhat Dds Ms Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13515 Ne 175th St Ste G, Woodinville, WA 98072 Phone: 312-315-7604 | |
Dr Matt D Richards Dds Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17331 135th Ave Ne, Suite D, Woodinville, WA 98072 Phone: 425-296-2728 | |
Stephen A. Rodgers, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13515 Ne 175th St Ste C, Woodinville, WA 98072 Phone: 425-483-9000 Fax: 425-481-6089 | |
Koczarski Aesthetic & Laser Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17000 140th Ave Ne Unit 202, Woodinville, WA 98072 Phone: 425-486-2200 | |
Demetri P. Ginosatis, Dmd, Msd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17320 135th Ave Ne Ste B, Woodinville, WA 98072 Phone: 425-402-1246 | |
Jerald D. Bates, D.d.s., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13515 Ne 175th St, Suite A, Woodinville, WA 98072 Phone: 425-483-1101 Fax: 425-487-6605 | |
Sneha Yerra Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15610 Woodinville-duvall Rd., Suite 104, Woodinville, WA 98072 Phone: 252-529-8602 |