Dwight Edward Cottrill, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00006088 Issued in WA

Practice address

16504 9TH Ave SE
Suite 103
Mill Creek, WA 98012-6396

Phone

(425) 742-3606

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cosmetic & Family Dentistry of Mill Creek

  • General Practice Dentistry
  • Mill Creek, WA
  • NPI 1366696114
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164453650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10238 NE 197TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980112452",
            "telephone_number": "425-483-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16504 9TH AVE SE",
            "address_2": "SUITE 103",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126396",
            "telephone_number": "425-742-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRILL",
        "first_name": "DWIGHT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "CO6355",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cope (Centers of Psychiatric Excellence) LLC
• Laura Corwin, PA-C
• Elva Elizabeth Cosgrave, LMP
• Cosmetic & Family Dentistry of Mill Creek
• Connie Cotton
• Barbara Seel Couvrette, PT
• Cynthia Cox
• Julie Crew, LABA
• Crossfunction Sports Massage
• Crossfunction Sports Massage, PLLC

• General Practice Dentistry in Mill Creek, WA
• Providers in Mill Creek, 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 Jul 8, 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.