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LAWRENCE E MAST DDS PS NPI 1497866255


NPI Information

NPI: 1497866255
Provider Name: LAWRENCE E MAST DDS PS

Doing Business As: BELLEVUE KIDS DENTIST

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
2150 112 AVE NE #A
BELLEVUE, WA
ZIP 98004
Phone: (425) 455-0784
Get Directions

LAWRENCE E MAST DDS PS is a pediatric dentistry dentist in Bellevue, WA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. LAWRENCE E MAST DDS PS NPI is 1497866255. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bellevue Kids Dentist.

The provider's business location address is:

2150 112 AVE NE #A
BELLEVUE, WA
ZIP 98004
Phone: (425) 455-0784
Fax: (425) 451-3999

The provider's authorized official is La Nette A Mc Intosh .
The authorized official title is Office Manager and has the following contact phone number (425) 455-0784.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry4233WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15018171MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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