EZ DENT DENTURE CLINIC INC NPI 1760564538

NPI Information

  • NPI: 1760564538
  • Provider Name: EZ DENT DENTURE CLINIC INC
  • Classification: Denturist - 122400000X
  • Entity Type: Organization
  • Address: 1130 140TH AVE NE
    #100B
    BELLEVUE, WA
    ZIP 98005
  • Phone: (425) 746-6090

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NPI Details

EZ DENT DENTURE CLINIC INC is a denturist in Bellevue, WA. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. EZ DENT DENTURE CLINIC INC NPI is 1760564538. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1130 140TH AVE NE
#100B
BELLEVUE, WA
ZIP 98005
Phone: (425) 746-6090
Fax: (425) 747-9856

The provider's authorized official is Sabina Goobes .
The authorized official title is Secretary and has the following contact phone number (425) 746-6090.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 9/11/2025.

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
1122300000XDentistDE8930WASHINGTONNo
2122300000XDentistDE9742WASHINGTONNo
3122400000XDenturistDN0141WASHINGTONNo
4122400000XDenturistDN0189WASHINGTONYes

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
15023734MEDICAIDWASHINGTON

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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