Orlando J Fugaro DDS MSD PS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10104 Issued in WA

Legal business name

ORLANDO J FUGARO DDS MSD PS

Doing business as

Eagle Harbor Dental

Practice address

710 Ericksen Ave NE Ste 200
Bainbridge Island, WA 98110-2835

Phone

(206) 842-2646

NPI assigned

May 4, 2016

Last updated

May 4, 2016By 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. Orlando J Fugaro, DDSNPI 1730100934

Title

Owner

Phone

(206) 842-2646

Specialties & licenses 1

Addresses

Other names 1

• Eagle Harbor Dental Doing business as

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.

• Orlando Joseph Fugaro, DDS,MSD

  • General Practice Dentistry
  • Bainbridge Island, WA
  • NPI 1730100934
  NPD (past) Authorized official

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1689020018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 ERICKSEN AVE NE STE 200",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102835",
            "telephone_number": "206-842-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 ERICKSEN AVE NE STE 200",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102835",
            "telephone_number": "206-842-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO J FUGARO DDS MSD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "FUGARO",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-842-2646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "10104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Harbor Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dolores Ann O'Rourke, MS, RD
• Shagundeep Octain, D.D.S.
• Leonel Oliveros-Rosen, M.D.
• Melanie Jo Olson, P.T.
• Theresa V Olson, PT
• Jacqueline S Osland, MD
• John D Osland, MD
• Pacific Eyecare of Poulsbo PS (Pacific Optical)
• Pacific Northwest Psychotherapy
• Pacific Northwest Psychotherapy

• Dental Clinic/Center in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.