Affordable Dental Group Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AFFORDABLE DENTAL GROUP INC

Practice address

411 Strander Blvd
Ste 204
Tukwila, WA 98188-2935

Phone

(360) 224-6445

NPI assigned

Apr 4, 2017

Last updated

Apr 4, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thanhha Varedi

Title

DDS

Phone

(360) 224-6445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1114450517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 64TH AVE E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242337",
            "telephone_number": "360-224-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD",
            "address_2": "STE 204",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882935",
            "telephone_number": "360-224-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "VAREDI",
        "authorized_official_first_name": "THANHHA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "360-224-6445"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.