MR. SHUICHI YAMAGUCHI (DDS PS) – Dentist, NPI 1790883650
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2024-11-20. Reason: License revocation, suspension, or surrender.
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. SHUICHI YAMAGUCHI (DDS PS)
6113, Saint Andrews Drive, Mukilteo, Snohomish County, Washington, 98275, United States
MUKILTEO, WA 98275
Phone: (425) 349-1343
Type: Mailing
19th Avenue Dental, 10217, 19th Avenue Southeast, Everett, Snohomish County, Washington, 98208, United States
STE 203
EVERETT, WA 98208
Phone: (425) 385-8130
Fax: (425) 385-2658
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98275)
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