NPI 1003284134 PACIFIC NORTHWEST DENTAL ANESTHESIA SERVICES LLC MERCER ISLAND WA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Pacific Northwest Dental Anesthesia Services Llc - NPI: 1003284134

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: PACIFIC NORTHWEST DENTAL ANESTHESIA SERVICES LLC
NPI Number: 1003284134
Entity Type Code: Organizational (2)
Authorized Official Name: GEOFFREY TIMOTHY BEAN
(OWNER)
Mailing Address: 9004 W Shorewood Dr Apt 519
Mercer Island
State: WA US
Postal Code: 980403245
Phone Number: 4252143960
Fax Number:
NPI Enumeration Date: 09/06/2015
NPI Last Update Date: 09/06/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223D0004X
License Number: GA60587955
Healthcare Provider Taxonomy:
(Secondary)
Y
State: WA
Taxonomy Type:
Taxonomy Classification:
Taxonomy Specialization:
Taxonomy Definition:


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