DR. LAWRENCE EUGENE MAST DDS MSD PS NPI 1710067855

NPI Information

NPI: 1710067855
Provider Name: DR. LAWRENCE EUGENE MAST, DDS MSD PS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

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

DR. Lawrence Eugene Mast, DDS MSD 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. DR. Lawrence Eugene Mast, DDS MSD PS NPI is 1710067855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2150 112 AVE NE #A
BELLEVUE, WA
ZIP 98004-939
Phone: (425) 455-0784
Fax: (425) 451-3999

The enumeration date for this NPI number is 10/16/2006 and was last updated on 7/9/2007.

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
1	1223P0221X	Dentist	Pediatric Dentistry	4233	WASHINGTON	Yes

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
1	5018171	MEDICAID	WASHINGTON
2	5390802	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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