Provider Type Icon

KEVIN LEE DDS JOHANN TI DDS & MICHAEL HYODO DDS PLLC NPI 1881700920


NPI Information

NPI: 1881700920
Provider Name: KEVIN LEE DDS JOHANN TI DDS & MICHAEL HYODO DDS PLLC

Doing Business As: STANWOOD DENTAL CARE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
9612 270TH ST NW
7C
STANWOOD, WA
ZIP 98292
Phone: (360) 629-1776
Get Directions

KEVIN LEE DDS JOHANN TI DDS & MICHAEL HYODO DDS PLLC is a dental clinic center in Stanwood, WA. KEVIN LEE DDS JOHANN TI DDS & MICHAEL HYODO DDS PLLC NPI is 1881700920. The provider is registered as an organization entity type.
The provider Is Doing Business As Stanwood Dental Care.

The provider's business location address is:

9612 270TH ST NW
7C
STANWOOD, WA
ZIP 98292
Phone: (360) 629-1776
Fax: (360) 629-0541

The provider's authorized official is Johann M Ti .
The authorized official title is Partner and has the following contact phone number (360) 629-1776.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 8/22/2020.


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
1261QD0000XClinic/CenterDental6284WASHINGTONNo
2261QD0000XClinic/CenterDental7741WASHINGTONNo
3261QD0000XClinic/CenterDental9599WASHINGTONNo
4261QD0000XClinic/CenterDental8211WASHINGTONYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.