Hyodoleemagelsenyi III, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

602870164 Issued in WA

Legal business name

HYODOLEEMAGELSENYI III, PLLC

Doing business as

Lakewood Dental Care

Practice address

2704 -171St PL. NE,
Suite L-101
Marysville, WA 98271-4712

Phone

(360) 652-1400

Fax

(360) 652-1433

NPI assigned

Feb 26, 2009

Last updated

Feb 26, 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. Shawn F Magelsen, DDS

Title

Partner/Owner

Phone

(360) 652-1400

Specialties & licenses 1

Addresses

Other names 1

• Lakewood Dental Care Doing business as

Locations

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1710127030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 -171ST PL. NE,",
            "address_2": "SUITE L-101",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714712",
            "telephone_number": "360-652-1400",
            "fax_number": "360-652-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 -171ST PL. NE,",
            "address_2": "SUITE L-101",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714712",
            "telephone_number": "360-652-1400",
            "fax_number": "360-652-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYODOLEEMAGELSENYI III, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "MAGELSEN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "360-652-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "602870164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara L Hudson, DDS
• Eric Robert Hughes, ND
• Kathleen Ann Hughes, MD
• Shane Hurley
• Daniel H. Hwang, DMD
• Integrated Rehab Group Limited Partnership
• Integrated Rehab Group Limited Partnership
• Integrated Rehabilitation Group, PC (IRG Physical & Hand Therapy - Smokey Point)
• Integrated Rehabilitation Group, PC (IRG Physical & Hand Therapy - Marysville)
• Integrative Psychological and Social Services

• Dental Clinic/Center in Marysville, WA
• Providers in Marysville, 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 Feb 26, 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.