Mydentist Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE 00010919 Issued in WA

Legal business name

MYDENTIST DENTAL CENTER

Practice address

333 Rainier Ave N
Renton, WA 98057-5358

Phone

(425) 277-7592

Fax

(425) 277-7590

NPI assigned

Nov 19, 2010

Organization subpart

No

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

Authorized official

Name

Antonela Polotanu

Title

Dentist

Phone

(425) 277-7592

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1336441617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 RAINIER AVE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 RAINIER AVE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575358",
            "telephone_number": "425-277-7592",
            "fax_number": "425-277-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYDENTIST DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "POLOTANU",
        "authorized_official_first_name": "ANTONELA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-277-7592"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE 00010919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Muser
• Soura Alaa Mustapha, ARNP
• Dorothy Muto-Coleman, AUD
• Martin Muy-Rivera, PA-C
• My Dental
• Laura Lynn Myer
• Jennifer Myers, MSPT
• Jody Ann Myers, M.A.
• Francesca Myhrvold
• Joyce Myles-Beach

• Dental Clinic/Center in Renton, WA
• Providers in Renton, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.