Advanced Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ADVANCED FAMILY DENTISTRY

Practice address

24909 104TH Ave SE Ste 102
Kent, WA 98030-2819

Phone

(253) 239-5020

NPI assigned

Aug 22, 2024

Last updated

Aug 23, 2024By 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

Sofiya Dzhalovskiy

Title

Office Manager

Phone

(253) 239-5020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1215760608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24909 104TH AVE SE STE 102",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302819",
            "telephone_number": "253-239-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24909 104TH AVE SE STE 102",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302819",
            "telephone_number": "253-239-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "DZHALOVSKIY",
        "authorized_official_first_name": "SOFIYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-239-5020"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fosua Addo
• Fadumo H Aden, ARNP
• Abisola A Adesanya
• Christine Adhiambo
• Krobea Asante Adomako
• Aesthetic and General Dentistry
• Nadia T Afifi, D.D.S.
• Vafa Aflatooni
• Aften Chiropractic Center Inc
• Frederick William Aften, DOCTOR OF CHIROPRACT

• Dentist in Kent, WA
• Providers in Kent, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.