Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1922013507
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1800, 116th Avenue Northeast, Northup, Bellevue, King County, Washington, 98004, United States
SUITE 101
BELLEVUE, WA 980043043
Phone: (425) 454-5091
Fax: (425) 454-5330
Mailing address matches the actual address.
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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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98004)
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