Amrit Mattu DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AMRIT MATTU DDS PLLC

Practice address

34700 11TH PL S
Federal Way, WA 98003-6715

Phone

(253) 946-9900

NPI assigned

Jan 15, 2024

Organization subpart

No

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

Authorized official

Name

Amritpal Mattu, DDS

Title

Sole Owner

Phone

(425) 753-1163

Specialties & licenses 1

Addresses

Other names 1

• AESTHETIC DENTAL CENTER Doing business as

Locations

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1154192557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34700 11TH PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34700 11TH PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036715",
            "telephone_number": "253-946-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMRIT MATTU DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "MATTU",
        "authorized_official_first_name": "AMRITPAL",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "425-753-1163",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AESTHETIC DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• America'S Best Contacts & Eyeglasses
• American Current Care of Washington, P.S.
• Carlos Amezcua
• Victor Amezcua I, MEDICAL INTERPRETER
• Kaitlin Amicone
• An Pham, OD, LLC
• Bo-Mi An, PHARMD
• David Anaya
• Amanda Elizabeth Anderson, LPN
• Angelica Elizabeth Anderson, PT

• Dental Clinic/Center in Federal Way, WA
• Providers in Federal Way, 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 Jan 15, 2024; 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.