Gary Y Dodobara, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3460 Issued in WA

Practice address

33515 10TH PL S Ste 12
Federal Way, WA 98003-7300

Phone

(253) 838-9996

Fax

(253) 815-9462

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dodobaras,D.D.S.,P.S.

  • General Practice Dentistry
  • Federal Way, WA
  • NPI 1790004869
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598810632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33515 10TH PL S STE 12",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037300",
            "telephone_number": "253-838-9996",
            "fax_number": "253-815-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33515 10TH PL S STE 12",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037300",
            "telephone_number": "253-838-9996",
            "fax_number": "253-815-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODOBARA",
        "first_name": "GARY",
        "middle_name": "Y",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "3460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinh D DO, DDS
• DO, Ghorbanian, Im, Kwon
• Linh DO
• My Anh Doan, DMD
• Khava Nicole Dobrenski, LMHC
• Steven Y Dodobara, DDS
• Dodobaras,D.D.S.,P.S.
• Marielouise S Dodson, LMHC
• Christine Dofredo, LMP
• Jordann Doler, LSWAIC

• General Practice Dentistry in Federal Way, WA
• Providers in Federal Way, 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 Jul 8, 2007; 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.