Advanced Dental & Denture PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010512 Issued in WA

Legal business name

ADVANCED DENTAL & DENTURE PLLC

Doing business as

Advanced Dental & Denture

Practice address

17694 1St Ave S
Burien, WA 98148-1729

Phone

(206) 335-6468

NPI assigned

Oct 12, 2012

Last updated

Oct 12, 2012By 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

Quoc Wan Ngo, LD

Title

Owner Denturies

Phone

(206) 335-6468

Specialties & licenses 2

Addresses

Other names 1

• Advanced Dental & Denture Doing business as

Locations

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1760734842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17694 1ST AVE S",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481729",
            "telephone_number": "206-335-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17694 1ST AVE S",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481729",
            "telephone_number": "206-335-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL & DENTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "QUOC",
        "authorized_official_middle_name": "WAN",
        "authorized_official_title_or_position": "OWNER DENTURIES",
        "authorized_official_telephone_number": "206-335-6468",
        "authorized_official_credential": "LD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010512",
            "primary": true
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental & Denture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey M Adkins, LPN
• Desiree Adolpho
• Ibrahim Abdikadir Adow, INTERPRETER
• Adult and Geriatric Medicine PLLC
• Advance Physical Therapy Inc
• Advanced Massage, LLC
• Aesthetic & General Dermatology of Seattle
• Aesthetic & General Dermatology of Seattle
• Affordable Dental Care (Steven L Paige DDS Wendy Yeung DMD & Danlu Lee DMD)
• Manoj Agarwal, MD, MBA

• General Practice Dentistry in Burien, WA
• Providers in Burien, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.