Mahadeep Virk, DMD-Bremerton PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MAHADEEP VIRK, DMD-BREMERTON PS

Practice address

2741 Wheaton Way
Suite B
Bremerton, WA 98310-3344

Phone

(360) 792-0300

Fax

(360) 792-0302

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mahadeep S Virk, DMD

Title

President

Phone

(360) 792-0300

Specialties & licenses 1

Addresses

Other names 1

• Avenue Dental Care - Bremerton Doing business as

Locations

Practitioners 1

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

• Manreet Grewal, D.D.S.

  • General Practice Dentistry
  • Costa Mesa, CA
  • NPI 1184825820
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1154537280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 WHEATON WAY",
            "address_2": "SUITE B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103344",
            "telephone_number": "360-792-0300",
            "fax_number": "360-792-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 WHEATON WAY",
            "address_2": "SUITE B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103344",
            "telephone_number": "360-792-0300",
            "fax_number": "360-792-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHADEEP VIRK, DMD-BREMERTON PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "VIRK",
        "authorized_official_first_name": "MAHADEEP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-792-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue Dental Care - Bremerton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shauna Madson
• Eileen Magalhaes
• Armando Magana, RBT
• Stephen C Magee, MED
• Jennifer Magna
• Lois Maiden
• Kelly Kristin Maki, SUDPT
• Mark Ata Malakooti, MD, MTM&H
• Malibu Beach, LLC
• Joshua Malimban

• General Practice Dentistry in Bremerton, WA
• Providers in Bremerton, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.