Aesthetic Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AESTHETIC DENTAL CENTER

Practice address

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

Phone

(253) 946-9900

NPI assigned

May 14, 2021

Organization subpart

No

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

Authorized official

Name

Cindy Chou, DDS

Title

Dentist

Phone

(253) 946-9900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1194399154",
    "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",
            "telephone_number": "253-946-9900"
        },
        {
            "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": "AESTHETIC DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "253-946-9900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE",
            "identifier": "200603178",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lisa N Agard
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• Somi Ahlbeck, RN

• General Practice Dentistry in Federal Way, WA
• Providers in Federal Way, 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 May 14, 2021; 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.