Great Smile Dental
Organization Active NPI Dental Clinic/Center · Duvall, WA
NPI 1013472687 · NPPES record last updated Feb 7, 2019
Key facts
- NPI
- 1013472687
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- GREAT SMILE DENTAL
- Practice address
- 26425 NE Allen St Ste 102
Duvall, WA 98019-8628 - Phone
- (425) 788-1551
- NPI assigned
- Feb 7, 2019
- Organization subpart
- No
Authorized official
- Name
- Chelsea D Mortell, DMD
- Title
- Dentist/Owner
- Phone
- (425) 788-1551
Practitioners 3
-
Yanka Chalakova, DDS
-
Caron Louise Nelson, DDS
-
Dick Yang, DMD
National Provider Directory
Locations
26425 NE Allen St
Ste 102
Duvall, WA 98019
Phone (425) 788-1551
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
26425 NE Allen St Ste 102
Duvall, WA 98019-8628
Mailing address
26425 NE Allen St Ste 102
Duvall, WA 98019-8628
Phone (425) 788-1551
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
Other names
- Great Smile Dental
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All providers in Duvall, WA · Dental Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.