Douglas J Brajcich Jr & Julie Lum DMD P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE 60083523 Issued in WA

Legal business name

DOUGLAS J BRAJCICH JR & JULIE LUM DMD P.C.

Practice address

515 Hwy 9 Ste 102
Lake Stevens, WA 98258-8523

Phone

(425) 334-6912

NPI assigned

May 5, 2009

Last updated

May 5, 2009By 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

Dr. Douglas James Brajcich, DMD

Title

President

Phone

(617) 448-1347

Specialties & licenses 2

Addresses

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.

• Loree D Olson Bolin, DDS

  • Dentist
  • Lake Stevens, WA
  • NPI 1942342498
  NPD (past)

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1659505667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HWY 9 STE 102",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588523",
            "telephone_number": "425-334-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HWY 9 STE 102",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588523",
            "telephone_number": "425-334-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J BRAJCICH JR & JULIE LUM DMD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "BRAJCICH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-448-1347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21884",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60083523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jahja Djajaputra, LMT
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC (Lake Stevens Family and Cosmetic Dentistry)
• Diana Doganiero Diaz
• Holly Jo Dorning, BA
• Lillian R Douds, MS - CCC-SLP
• Dr. Saqib Razzak, PLLC
• Lyman Charles Drown, ATC
• Edmark Chiropractic PLLC
• Kurt A Edmark, D.C.
• Esther Edwards

• General Practice Dentistry in Lake Stevens, WA
• Providers in Lake Stevens, 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 May 5, 2009; 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.