David Apatoff, D.D.S.

Individual provider Active NPI General Practice Dentistry · Edmonds, WA

NPI 1487601605 · NPPES record last updated Dec 24, 2012

Key facts

NPI
1487601605
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6763 (WA)
Practice address
651 Edmonds Way
Suite C
Edmonds, WA 98020-4689
Phone
(425) 712-7200
Fax
(425) 712-1428
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150408001685 WA Order and Referring Only - Oral Surgery
Practitioner - Oral Surgery
1951629625

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6763WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David Apatoff, DDS General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6763 WA Yes

Addresses

Primary practice location

651 Edmonds Way
Suite C
Edmonds, WA 98020-4689

Mailing address

651 Edmonds Way
Suite C
Edmonds, WA 98020-4689
Phone (425) 712-7200

Other providers in Edmonds, WA

All providers in Edmonds, WA · General Practice Dentistry in Washington

Sources for this page

Verify at the official NPI Registry.