Washington Dental Service

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00004485 Issued in WA

Legal business name

WASHINGTON DENTAL SERVICE

Doing business as

SmileMobile

Practice address

9706 4TH Ave NE
Seattle, WA 98115-2157

Phone

(206) 528-2337

Fax

(206) 985-4950

NPI assigned

Oct 8, 2010

Last updated

Oct 8, 2010By 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

Ms. Laura Smith, MPA

Title

Ceo

Phone

(206) 528-2335

Specialties & licenses 6

Addresses

Other names 1

• SmileMobile Doing business as

Tax ID family

Delta Dental of Washington2 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.

• Delta Dental of Washington

  • Point of Service
  • Seattle, WA
  • NPI 1174979918
  NPD tax ID

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1154631117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9706 4TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152157",
            "telephone_number": "206-528-2337",
            "fax_number": "206-985-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9706 4TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152157",
            "telephone_number": "206-528-2337",
            "fax_number": "206-985-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON DENTAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-528-2335",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005474",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005252",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006700",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005222",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00004485",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00005772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileMobile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Washington Dental Corporation, PC (Dentists of West Seattle)
• Washington Dental Corporation, PC (Ballard Modern Dentistry)
• Washington Dental Corporation, PC
• Washington Dental Corporation, PC (SLU Dental Group)
• Washington Dental Corporation, PC
• Washington Institute for Coagulation (WA Center for Bleeding Disorder Pharmacy)
• Washington Institute for Coagulation (Washington Center for Bleeeding Disorders)
• Washington Medical Specialists PC
• Washington Otology Neurotology Group, P.S.
• Washington Spine and Wellness LLC (Monroe Chiropractic and Alternative Medicine Center)

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, 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 Oct 8, 2010; 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.