Bill J. Mulliken DDS, P.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BILL J. MULLIKEN DDS, P.S.

Doing business as

Mill Creek Family Dentistry

Practice address

16030 Bothell Evertt Hwy
Suite 280
Mill Creek, WA 98012

Phone

(888) 656-8498

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Jadgev Heir

Title

Ceo/President

Phone

(518) 441-5483

Specialties & licenses 1

Addresses

Other names 1

• Mill Creek Family Dentistry Doing business as

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1225718216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 TRUXEL ROAD",
            "address_2": "SUITE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERTT HWY",
            "address_2": "SUITE 280",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "888-656-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL J. MULLIKEN DDS, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "HEIR",
        "authorized_official_first_name": "JADGEV",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "518-441-5483"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mill Creek Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig Leigh Baugher, PA
• Nancy D Bennett, LMHC CDP
• Todd J Berggren, DDS
• Adam W Berry, D.D.S.
• Danielle Best
• Jeffrey Bissey, MD
• BJ Mulliken DDS PLLC
• Brenda Lynn Black, AT,C
• Gwendolyn Black, LPN
• Cleo B Bloomquist, PT

• 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 24, 2023; 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.