DMG Dental Design LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00007078 Issued in WA

Legal business name

DMG DENTAL DESIGN LLC

Practice address

1908 201St PL SE
200
Bothell, WA 98012-8572

Phone

(425) 488-2345

Fax

(425) 489-4082

NPI assigned

Jun 1, 2015

Last updated

Jun 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David G Myaskovsky, DDS, MSDNPI 1154541084

Title

Member

Phone

(425) 488-2345

Specialties & licenses 1

Addresses

Locations

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.

• David Myaskovsky, D.D.S

  • Endodontics
  • Bothell, WA
  • NPI 1154541084
  NPD (past) Authorized official
• Sofia D. Petrov, D.D.S., M.S.D.

  • Periodontics
  • Covington, WA
  • NPI 1285703702
  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1508246927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 201ST PL SE",
            "address_2": "200",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128572",
            "telephone_number": "425-488-2345",
            "fax_number": "425-489-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 201ST PL SE",
            "address_2": "200",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128572",
            "telephone_number": "425-488-2345",
            "fax_number": "425-489-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMG DENTAL DESIGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "MYASKOVSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-488-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amber Elizabeth Dodd
• Fatoumata B Doelling, REGISTERED NURSE

• General Practice Dentistry in Bothell, WA
• Providers in Bothell, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.