BEAUTIFUL SMILES DENTAL LLC NPI 1194991646

NPI Information

  • NPI: 1194991646
  • Provider Name: BEAUTIFUL SMILES DENTAL LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 18521 101ST AVE NE
    BOTHELL, WA
    ZIP 98011
  • Phone: (425) 487-1551

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NPI Details

BEAUTIFUL SMILES DENTAL LLC is a general practice dentist in Bothell, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BEAUTIFUL SMILES DENTAL LLC NPI is 1194991646. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

18521 101ST AVE NE
BOTHELL, WA
ZIP 98011-803
Phone: (425) 487-1551
Fax: (425) 487-2160

The provider's authorized official is Tate Todorovic .
The authorized official title is Office Manager and has the following contact phone number (425) 487-1551.

The enumeration date for this NPI number is 5/5/2008 and was last updated on 5/5/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDE00010705WASHINGTONNo
21223P0700XDentistProsthodonticsDE00009891WASHINGTONNo
3122400000XDenturistDN00000331WASHINGTONNo
41223G0001XDentistGeneral PracticeDE00010721WASHINGTONYes

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: 11/21/2025

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