Mark Daniel Studeny, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00009982 Issued in WA

Practice address

411 Strander Blvd Ste 205
Tukwila, WA 98188-2959

Phone

(206) 890-4598

NPI assigned

Feb 15, 2006

Last updated

Apr 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Locations

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

• Mark Studeny, DDS, PLLC.

  dba Aesthetic Smiles

  • Dentist
  • Tukwila, WA
  • NPI 1053970210
  NPD Authorized official

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1467426551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD STE 205",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882959",
            "telephone_number": "206-890-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD STE 205",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882959",
            "telephone_number": "206-890-4598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18230 E Valley Hwy",
            "address_2": "Suite 168",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980321259",
            "country_code": "US",
            "telephone_number": "206-890-4598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUDENY",
        "first_name": "MARK",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Stone, SUDP
• Quinn Fein Nola Strange, CPC
• Gabrielle Stratton
• Christopher Strauch
• Dana Strickland
• Timothy Seth Studley, LMFT
• Riley Sturgill
• Kristi M Stusser
• Sukhminder S Buttar, DDS, PS
• Joshua Jin Suman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.