Aj Gollofon DDS PS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00006208 Issued in WA

Legal business name

AJ GOLLOFON DDS PS

Practice address

11285 Lake City Way NE
Seattle, WA 98125

Phone

(206) 363-7200

Fax

(206) 367-6689

NPI assigned

Aug 31, 2016

Last updated

Aug 31, 2016By 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

Aj GollofonNPI 1295798650

Title

President

Phone

(206) 363-7200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• A.J. Gollofon, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1295798650
  NPD (past) Authorized official

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1548716343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 LAKE CITY WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256718",
            "telephone_number": "206-363-7200",
            "fax_number": "206-367-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 LAKE CITY WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98125",
            "telephone_number": "206-363-7200",
            "fax_number": "206-367-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ GOLLOFON DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "GOLLOFON",
        "authorized_official_first_name": "AJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-363-7200"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00006208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marti Aitken
• Moira L Aitken
• Mareta Aitulagi
• Abigail Omolayo Aiyepola, ND, LM
• Ravi Kalyamaraman Aiyer, MD
• Janna M. Ajam, SLP
• Ajay Kashi DDS PHD PLLC
• Danica Louise Villa Ajero, PTA
• Michael Ajeto
• Tomoko Akaike, MD

• Dental Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.