Mark Germack DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00010298 Issued in WA

Legal business name

MARK GERMACK DDS PLLC

Practice address

720 Olive Way
Suite 835
Seattle, WA 98101

Phone

(206) 450-1939

NPI assigned

Jul 19, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Earl Germack, DDSNPI 1144349119

Title

Owner

Phone

(206) 450-1939

Specialties & licenses 1

Addresses

Other names 1

• Issaquah Creek Dental Doing business as

Tax ID family

Mark Germack DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mark Germack DDS PLLC

  • Dental Clinic/Center
  • Mercer Island, WA
  • NPI 1982552618
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mark Germack DDS PLLC

  • Dental Clinic/Center
  • Mercer Island, WA
  • NPI 1982552618
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Earl Germack, D.D.S.

  • Endodontics
  • Seattle, WA
  • NPI 1144349119
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013360502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OLIVE WAY",
            "address_2": "SUITE 835",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98101",
            "telephone_number": "206-450-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OLIVE WAY",
            "address_2": "SUITE 835",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98101",
            "telephone_number": "206-450-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK GERMACK DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GERMACK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-450-1939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00010298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Issaquah Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Mariuma, M.D.
• Mark a. Freeman Jeffrey a. Short PLLC
• Mark C Svore DDS
• Mark David Balter OD, PS
• Mark Ellestad, MD - Psychiatric Services, PLLC
• Mark R McClung MD PC
• Mark R. Grace, D.D.S., PLLC
• Mark S. Jyringi, DC, PS
• Mark Stahl, DDS, PS
• Mark Waind DDS, PS

• Dental Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.