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PROGRESSIVE DENTISTRY INC. NPI 1639331135


NPI Information

NPI: 1639331135
Provider Name: PROGRESSIVE DENTISTRY, INC.
Classification: Point of Service - 305S00000X
Entity Type: Organization

CLIA Number: 50D2280909

Address:
12816 SE 38TH ST STE I
BELLEVUE, WA
ZIP 98006
Phone: (425) 747-7650
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PROGRESSIVE DENTISTRY, INC. is a point of service in Bellevue, WA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. PROGRESSIVE DENTISTRY, INC. NPI is 1639331135. The provider is registered as an organization entity type.

The provider's business location address is:

12816 SE 38TH ST STE I
BELLEVUE, WA
ZIP 98006-327
Phone: (425) 747-7650
Fax: (425) 653-1502

The provider's authorized official is Behrooz Zamani .
The authorized official title is C.f.o. and has the following contact phone number (425) 747-7650.

The CLIA number assigned to this NPI record is 50D2280909 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2008 and was last updated on 6/26/2008.


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
1305S00000XPoint of Service602708926WASHINGTONYes

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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