Pavlovich Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60188633 Issued in WA

Legal business name

PAVLOVICH DENTAL

Practice address

4150 California Ave SW
Seattle, WA 98116-4102

Phone

(206) 935-1855

Fax

(206) 937-3996

NPI assigned

Nov 8, 2016

Organization subpart

No

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

Authorized official

Name

Heather Grant

Title

Office Manager

Phone

(206) 935-1855

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Marjorie Bockow, DDS

  • Dentist
  • Seattle, WA
  • NPI 1306036330
  NPD (past)
• Geoffrey Devin Johnston, D.D.S.

  • Dentist
  • Seattle, WA
  • NPI 1518410364
  NPD (past)
• Glenn Krieger, DDS, FAGD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Seattle, WA
  • NPI 1104040039
  NPD (past)

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1568904530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164102",
            "telephone_number": "206-935-1855",
            "fax_number": "206-937-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164102",
            "telephone_number": "206-935-1855",
            "fax_number": "206-937-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVLOVICH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-935-1855"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60188633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Pavlenco, MD
• Karen Pavlidis, PH.D.
• Dorothy Janet Pavlin
• Edward G Pavlin, MD
• Kathryn Renee Pavlis, LMP
• Kristyn D Pavnica, PMHNP
• Sapna Pawa, M.D.
• Pax Psychotherapy PLLC
• Erin Paxinos, ATC
• William D Paxson III, D.C.

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, 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 Nov 8, 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.