Gabriela Aragon-Meyer, DDS

Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Kent, WA

NPI 1740991306 · NPPES record last updated Dec 5, 2022

Key facts

NPI
1740991306
Entity type
Individual (NPI type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
DE61147473 (WA)
Practice address
331 3Rd Ave S
Kent, WA 98032-5844
Phone
(253) 852-7210
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DE61147473WAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Soper Enterprises Kent PLLC Orthodontics and Dentofacial Orthopedics Past
since Dec 13, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE61147473 WA Yes

Addresses

Primary practice location

331 3Rd Ave S
Kent, WA 98032-5844

Mailing address

18047 169TH Ave SE
Renton, WA 98058-8858

Other providers in Kent, WA

All providers in Kent, WA · Orthodontics and Dentofacial Orthopedics Dentistry in Washington

Sources for this page

Verify at the official NPI Registry.