Thomas Dale Townsan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00003742 Issued in WA

Practice address

19514 64TH Ave W
Suite a
Lynnwood, WA 98036-5105

Phone

(425) 774-0111

Fax

(425) 775-5624

NPI assigned

Jan 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Lynnwoodsmiles

  • Dental Clinic/Center
  • Lynnwood, WA
  • NPI 1831349968
  NPD (past)

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164589206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 PARK AVE",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982751916",
            "telephone_number": "425-355-0515",
            "fax_number": "425-355-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19514 64TH AVE W",
            "address_2": "SUITE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365105",
            "telephone_number": "425-774-0111",
            "fax_number": "425-775-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSAN",
        "first_name": "THOMAS",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00003742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saleh Toseef
• Total Care Clinic LLC
• Total Renal Care Inc
• Abigail Anacleta Towell, LMT
• Grace Danielle Towle
• Judi Trainor, PT, MA
• Andrew Tran, D.D.S.
• Dung Van Tran, RPH
• Lan Thi Tran, O.D.
• Minh Huong Thi Tran

• General Practice Dentistry in Lynnwood, WA
• Providers in Lynnwood, 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.