Dawn April Bova, DMD
Individual provider Active NPI General Practice Dentistry · Mercer Island, WA
NPI 1689769002 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689769002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9685 (WA)
- Practice address
- 7803 SE 27TH St #160
Mercer Island, WA 98040 - Phone
- (206) 230-4123
- Fax
- (206) 230-4127
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|
| 9685 | WA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9685 | WA | Yes |
Addresses
Primary practice location
7803 SE 27TH St #160
Mercer Island, WA 98040
Mailing address
7803 SE 27TH St #160
Mercer Island, WA 98040
Phone (206) 230-4123
Other providers in Mercer Island, WA
- James M Blue
- Katherine Perry Blumstein
- Elisha Bobrosky
- Alissa Ford Borda
- Mark J Bouma
- Deshawn Edward Bowen-Aitkens
- Laura Anne Bowlin
- Brad Judy, DDS, PLLC
- Sonja Bradford
- Alayna Brauer
All providers in Mercer Island, 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 Jul 8, 2007. 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.