| Northshore Dental Center Llc | |
|
18404 104th Ave Ne Bothell WA 98011-3414 | |
| (425) 486-2422 | |
| (425) 486-2712 |
| Full Name | Northshore Dental Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 18404 104th Ave Ne, Bothell, Washington |
| Authorized Official Name and Position | Diane Vo (OWNER) |
| Authorized Official Contact | 4257858305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Dental Center Llc 18404 104th Ave Ne Bothell WA 98011-3414 Ph: (425) 241-2960 | Northshore Dental Center Llc 18404 104th Ave Ne Bothell WA 98011-3414 Ph: (425) 486-2422 |
| NPI Number | 1760695282 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 01/12/2023 |
| Medicare PECOS PAC ID | 7214383223 |
|---|---|
| Medicare Enrollment ID | O20231027000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760695282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00007951 (Washington) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Blake Herbison Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18520 101st Ave Ne, Bothell, WA 98011 Phone: 425-486-2727 | |
Fernando Caballero, Dds And Isabel Perez Dds. Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11511 Ne 195th St, #104, Bothell, WA 98011 Phone: 425-481-5302 | |
Christine Lentz Dds And Lisa Egbert Dds Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19214 Bothell Way Ne, Suite C, Bothell, WA 98011 Phone: 425-485-0300 Fax: 425-402-9186 | |
Trina Bruchal, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12900 Ne 180th St Ste 215, Bothell, WA 98011 Phone: 425-939-8428 Fax: 425-939-8418 | |
Kz Hsue Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22703 Bothell Everett Hwy, Suite E, Bothell, WA 98021 Phone: 425-488-1480 Fax: 425-489-9997 | |
Ross L Taylor, P.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7317 N.e. 141st Street, Bothell, WA 98011 Phone: 425-823-8803 | |
Hwang Choi Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17917 Bothell Everett Hwy Ste 305, Bothell, WA 98012 Phone: 425-481-1038 Fax: 425-483-3158 |