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MICHAEL CONWAY DDS PLLC NPI 1366748105


NPI Information

NPI: 1366748105
Provider Name: MICHAEL CONWAY DDS PLLC

Doing Business As: KENMORE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5723 NE BOTHELL WAY STE B
KENMORE, WA
ZIP 98028
Phone: (425) 485-0588
Get Directions

MICHAEL CONWAY DDS PLLC is a general practice dentist in Kenmore, 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. MICHAEL CONWAY DDS PLLC NPI is 1366748105. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kenmore Dental.

The provider's business location address is:

5723 NE BOTHELL WAY STE B
KENMORE, WA
ZIP 98028-404
Phone: (425) 485-0588
Fax: (425) 483-6189

The provider's authorized official is Teri Anne Shackelford .
The authorized official title is Office Manger and has the following contact phone number (425) 485-0588.

The enumeration date for this NPI number is 1/26/2011 and was last updated on 7/21/2016.


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 Practice7496WASHINGTONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17526610001MEDICARE NSCWASHINGTON

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: 5/5/2024

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