Organization Active NPI

G. Glenn Buchanan, III, DDS, PLLC

Doing business as Reflections Dental Centre

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1487088803
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6807 Issued in WA
Legal business name
G. GLENN BUCHANAN, III, DDS, PLLC
Doing business as
Reflections Dental Centre
Practice address
2600 SW Barton St
Suite E-20
Seattle, WA 98126-3948
Phone
(206) 923-3684
NPI assigned
Aug 22, 2013
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Monica M Mulligan
Title
Clinic Director
Phone
(206) 923-3684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6807 WA Primary

Addresses

Primary practice location

2600 SW Barton St
Suite E-20
Seattle, WA 98126-3948

Mailing address

2600 SW Barton St
Suite E-20
Seattle, WA 98126-3948
Phone (206) 923-3684

Other names 1

  • Reflections Dental Centre Doing business as

National Provider Directory

National Provider Directory

Locations

2600 SW Barton St
Ste E20
Seattle, WA 98126
Phone (206) 923-3684

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1487088803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SW BARTON ST",
            "address_2": "SUITE E-20",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263948",
            "telephone_number": "206-923-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SW BARTON ST",
            "address_2": "SUITE E-20",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263948",
            "telephone_number": "206-923-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. GLENN BUCHANAN, III, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "MULLIGAN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "206-923-3684"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "6807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflections Dental Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.