Gentle Touch Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

6076 Issued in WA

Legal business name

GENTLE TOUCH DENTAL GROUP

Practice address

17917 Bothell Everett Hwy
Suite 305
Bothell, WA 98012-6384

Phone

(425) 481-1038

Fax

(425) 483-3158

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Larae Van Derschelden

Title

President

Phone

(425) 481-1038

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1548345697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17917 BOTHELL EVERETT HWY",
            "address_2": "SUITE 305",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126384",
            "telephone_number": "425-481-1038",
            "fax_number": "425-483-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17917 BOTHELL EVERETT HWY",
            "address_2": "SUITE 305",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126384",
            "telephone_number": "425-481-1038",
            "fax_number": "425-483-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE TOUCH DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "VAN DERSCHELDEN",
        "authorized_official_first_name": "LARAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-481-1038"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "6076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beri Negasi Gebrehiwot
• Dana Beth Gelet, LMHC
• Brooke Geller, PT
• Genesis Integrative Psychiatry
• Gentle Nutrition LLC
• Michael Darren George, MD
• Nikki Gepner, RDN
• Gericef
• Gericef LLC
• Christina Gesell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.