Kumudra T Soe DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KUMUDRA T SOE DMD PLLC

Doing business as

Perrinville Family Dentistry

Practice address

7533 Olympic View Dr Ste C
Edmonds, WA 98026-5524

Phone

(425) 670-2392

Fax

(425) 776-8173

NPI assigned

Feb 21, 2024

Last updated

Feb 21, 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

Mandy Maquiling

Title

Office Manager

Phone

(425) 670-2392

Specialties & licenses 1

Addresses

Other names 1

• Perrinville Family Dentistry Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kumudra Tin Soe, DMD

  • Dentist
  • Edmonds, WA
  • NPI 1497308159
  NPD
• Gary J Jacky, DMD

  • Dentist
  • Edmonds, WA
  • NPI 1154380210
  NPD (past)
• Iris Tingshiuan Yang

  • General Practice Dentistry
  • Edmonds, WA
  • NPI 1720782733
  NPD (past)

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1417713199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7533 OLYMPIC VIEW DR STE C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980265524",
            "telephone_number": "425-670-2392",
            "fax_number": "425-776-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7533 OLYMPIC VIEW DR STE C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980265524",
            "telephone_number": "425-670-2392",
            "fax_number": "425-776-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMUDRA T SOE DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "MAQUILING",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-670-2392"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perrinville Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kruger Clinic Orthopaedics, PLLC
• David K Kuechle, MD
• Melanie K Kuechle, M.D.
• Ryan Edel Kuhar, MD
• Sarah Kukes, MA 60208487
• Kevin Kuo, N.D.
• Alicia Kuoch
• Olivia Kuoch
• Mark A Kuzel, D.P.M.
• Clark Kenneth Kvistad, D.D.S.

• Dental Clinic/Center in Edmonds, WA
• Providers in Edmonds, 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 Feb 21, 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.