Naoko Kimura, DDS – General Practice Dentistry

Key facts

NPI: 1811052616
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: DE00010142 (WA)
Practice address: 1300 Alameda Ave
Fircrest, WA 98466
Phone: (253) 564-0202
Fax: (253) 460-1460
NPI assigned: Dec 22, 2006
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.

Alameda Dental Dental Clinic/Center · Fircrest, WA · NPI 1154276913

NPD

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
DE00010142	WA	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Alameda Dental		Current	Accepting new patients

Locations

1300 Alameda Ave
Fircrest, WA 98466
Phone (253) 564-0202

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	DE00010142	WA	Yes

Addresses

Primary practice location

1300 Alameda Ave
Fircrest, WA 98466

Mailing address

1300 Alameda Ave
Fircrest, WA 98466
Phone (253) 564-0202

Other providers in Fircrest, WA

All providers in Fircrest, 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.

Verify at the official NPI Registry.