Good Dental & Dentures

Primary specialty

DenturistTaxonomy code 122400000X

License

DN00000454 Issued in WA

Legal business name

GOOD DENTAL & DENTURES

Doing business as

Excel dental & dentures

Practice address

20015 Highway 99 Ste D
Lynnwood, WA 98036-6073

Phone

(425) 774-8590

Fax

(425) 774-8509

NPI assigned

Jul 22, 2010

Last updated

Jul 22, 2010By 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

Jay Choi

Title

Owner

Phone

(425) 774-8590

Specialties & licenses 1

Addresses

Other names 1

• Excel dental & dentures Doing business as

Locations

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1629381348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20015 HIGHWAY 99 STE D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366073",
            "telephone_number": "425-774-8590",
            "fax_number": "425-774-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20015 HIGHWAY 99 STE D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366073",
            "telephone_number": "425-774-8590",
            "fax_number": "425-774-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD DENTAL & DENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-774-8590"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel dental & dentures",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Norman P. Goodwin
• Rachel Claire Goodwin
• Ann M Gorman, RPH
• Abrah M Goudarzi, DDS

• Denturist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Denturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.