Avondale Smiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009797 Issued in WA

Legal business name

AVONDALE SMILES

Practice address

11523 Avondale Rd NE
Suite 115
Redmond, WA 98052-2301

Phone

(425) 298-6684

NPI assigned

May 11, 2010

Organization subpart

No

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

Authorized official

Name

Aditi Agarwal, D.M.D

Title

Dentist

Phone

(425) 298-6684

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1356669717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11523 AVONDALE RD NE",
            "address_2": "SUITE 115",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980522301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11523 AVONDALE RD NE",
            "address_2": "SUITE 115",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980522301",
            "telephone_number": "425-298-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONDALE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "ADITI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-298-6684",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Au, M.D.
• Caleb Joshua Ault, LMT
• Erin Irene Ausborn, D.O.
• Wendy J Averett, LMHC
• Liana Avetisyan, DPT
• Aw Chen& Associates II PS
• Awla Olson Wong, PLLC
• Az Tech Radiology and Open MRI LLC
• Gena Azar, LMHCA
• Brooke Azie-Rentz, N.D.

• General Practice Dentistry in Redmond, WA
• Providers in Redmond, 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 11, 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.