Smile Bright Denture Center Ballard Inc.

Primary specialty

DenturistTaxonomy code 122400000X

License

DN 00000360 Issued in WA

Legal business name

SMILE BRIGHT DENTURE CENTER BALLARD INC.

Practice address

8541 15TH Ave NW
Seattle, WA 98117-3606

Phone

(206) 782-5253

NPI assigned

Nov 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Dung Q Pham, LDNPI 1194850073

Title

Denturist / President

Phone

(206) 782-5253

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dung Q Pham, DN

  • Denturist
  • Everett, WA
  • NPI 1194850073
  NPD (past) Authorized official

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1447657382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E CASINO RD STE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982081846",
            "telephone_number": "425-355-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8541 15TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173606",
            "telephone_number": "206-782-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BRIGHT DENTURE CENTER BALLARD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DUNG",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "DENTURIST / PRESIDENT",
        "authorized_official_telephone_number": "206-782-5253",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LD"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN 00000360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Smedsrud, MSW
• Olga Smelik, DDS
• Theresa K Smeltzer, ARNP
• Caitlin Smemo, L.AC.
• Smile Art by Jaime Lee DDS
• Smile Center, Inc.
• Smile Matters Inc.
• Smile West Seattle LLC
• Smiles on Madison, LLC
• Shealynn Smiley

• Denturist in Seattle, WA
• Providers in Seattle, WA by specialty
• Denturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.