Maurine Machugh DDS, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

5017 Issued in WA

Legal business name

MAURINE MACHUGH DDS, PLLC

Doing business as

EvergreenPeriodontics

Practice address

12911 120TH Ave NE
Ste F240
Kirkland, WA 98034-3027

Phone

(425) 820-2414

Fax

(425) 814-1757

NPI assigned

Jan 4, 2006

Organization subpart

No

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

Authorized official

Name

Maurine Machugh, DDS

Title

Dentist/Owner

Phone

(425) 820-2414

Specialties & licenses 1

Addresses

Other names 1

• EvergreenPeriodontics Doing business as

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1417935917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE",
            "address_2": "STE F240",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343027",
            "telephone_number": "425-820-2414",
            "fax_number": "425-814-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE",
            "address_2": "STE F240",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343027",
            "telephone_number": "425-820-2414",
            "fax_number": "425-814-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURINE MACHUGH DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "MACHUGH",
        "authorized_official_first_name": "MAURINE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "425-820-2414",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "5017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EvergreenPeriodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savannah Mattingly
• Georgia Mattox
• Yuliia Matvieieva
• Amber Dawn Maurer, LMP
• Lawrence Michael Maurer, DPM
• Tristan Maxwell, DC
• Dye'Shanae May
• Philip Clark May, MD
• Paul K Mayeda, M.D.
• Kaylee Maynard

• Dentist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.