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ENDO NW BELLEVUE NPI 1790009207


NPI Information

NPI: 1790009207
Provider Name: ENDO NW BELLEVUE
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
1545 116TH AVE NE
SUITE 102
BELLEVUE, WA
ZIP 98004
Phone: (425) 454-4582
Get Directions

ENDO NW BELLEVUE is an endodontics dentist in Bellevue, WA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. ENDO NW BELLEVUE NPI is 1790009207. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1545 116TH AVE NE
SUITE 102
BELLEVUE, WA
ZIP 98004-813
Phone: (425) 454-4582
Fax: (425) 646-9430

The provider's authorized official is Kevin Y Choi .
The authorized official title is Owner and has the following contact phone number (425) 454-4582.

The enumeration date for this NPI number is 3/26/2010 and was last updated on 3/26/2010.


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
11223E0200XDentistEndodontics4517WASHINGTONNo
21223E0200XDentistEndodontics7999WASHINGTONYes

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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