Mandeep Mandy Alamwala, DMD
Individual provider Active NPI Dentist · Everson, WA
NPI 1689117996 · NPPES record last updated Dec 11, 2019
Key facts
- NPI
- 1689117996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DE60681890 (WA)
- Practice address
- 3660 Lindsay Rd
Everson, WA 98247-9250 - Phone
- (360) 393-2158
- NPI assigned
- Nov 18, 2016
- Reactivated
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60681890 | WA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60681890 | WA | Yes |
Addresses
Primary practice location
3660 Lindsay Rd
Everson, WA 98247-9250
Mailing address
3660 Lindsay Rd
Everson, WA 98247-9250
Phone (360) 393-2158
Other providers in Everson, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2019. 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.