Allied Family Dental
Organization Active NPI General Practice Dentistry · Burien, WA
NPI 1649554189 · NPPES record last updated Oct 3, 2011
Key facts
- NPI
- 1649554189
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ALLIED FAMILY DENTAL
- Practice address
- 14212 Ambaum Blvd SW
Suite 302
Burien, WA 98166-1449 - Phone
- (206) 244-7992
- NPI assigned
- Oct 3, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- DR. NHI PHAM DDS
Authorized official
- Name
- Dimitri Rabinovich
- Title
- Operations Manager
- Phone
- (206) 434-7117
National Provider Directory
- Part of
- Allied Family Dental
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
14212 Ambaum Blvd SW
Suite 302
Burien, WA 98166-1449
Mailing address
14212 Ambaum Blvd SW
Suite 302
Burien, WA 98166-1449
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5032388 | Medicaid | WA |
Other providers in Burien, WA
- Allasso LLC
- Marjie L Alldred
- Katie Allen
- Kimberly Mae Allen
- Megan Elaine Allen
- Julie Ann Allred Schroader
- Anna Alpert
- Linda Marie Alva-Crofoot
- Eric Gordon Alyea
- Julie Kay Ambrose
All providers in Burien, WA · General Practice Dentistry in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.