Stephen Michael Macgeorge, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5599 Issued in WA

Practice address

1207 N 200TH St Ste 220
Shoreline, WA 98133-3213

Phone

(206) 546-4815

Fax

(206) 546-2375

NPI assigned

Nov 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stephen Macgeorge DDS

  • Dental Clinic/Center
  • Shoreline, WA
  • NPI 1225584063
  NPD (past) Authorized official

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386723708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N 200TH ST STE 220",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333213",
            "telephone_number": "206-546-4815",
            "fax_number": "206-546-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N 200TH ST STE 220",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333213",
            "telephone_number": "206-546-4815",
            "fax_number": "206-546-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACGEORGE",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lynch
• Anne Lyons, PT
• Mary Ann Lyons, L.M.F.T., CMHS
• Grace Fuk Wai Ma
• Qianlu Ma
• Gregory Atticus Mack, D.C.
• John William Mack, BA, CDP
• Paul A Mack, DC
• Laura Sheree Brunt Macleod, PHD
• Joy Mactavish-Unten, IBCLC, ICCE, CD, PCD

• General Practice Dentistry in Shoreline, WA
• Providers in Shoreline, 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 8, 2007; 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.