Active NPI
Loree Bolin, DDS LLC
- Dental Clinic/Center
- Everett, WA
National Provider Identifier
1740698422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- WA6016
- Legal business name
- LOREE BOLIN, DDS LLC
- Practice address
- 10025 19TH Ave SE
Suite 200
Everett, WA 98208-4275 - Phone
- (425) 218-2887
- NPI assigned
- Jul 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Loree Dale Olson-Bolin, DDS
- Title
- Owner
- Phone
- (425) 218-2887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | WA6016 | WA | Primary |
Addresses
Primary practice location
10025 19TH Ave SE
Suite 200
Everett, WA 98208-4275
Mailing address
18404 Olympic View Dr
Edmonds, WA 98020-2348
Phone (425) 218-2887
National Provider Directory
National Provider Directory- Tax ID family
- Loree Bolin DDS LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Edmonds, WA
- NPI 1124428354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406332800000",
"number": "1740698422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18404 OLYMPIC VIEW DR",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980202348",
"telephone_number": "425-218-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10025 19TH AVE SE",
"address_2": "SUITE 200",
"city": "EVERETT",
"state": "WA",
"postal_code": "982084275",
"telephone_number": "425-218-2887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOREE BOLIN, DDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-26",
"last_updated": "2014-07-26",
"status": "A",
"authorized_official_last_name": "OLSON-BOLIN",
"authorized_official_first_name": "LOREE",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-218-2887",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "WA",
"license": "WA6016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.