Sarah Choe, D.D.S

Individual provider Active NPI General Practice Dentistry · Snohomish, WA

NPI 1811211287 · NPPES record last updated Dec 18, 2017

Key facts

NPI
1811211287
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DE60293998 (WA)
Practice address
1001 Avenue D Ste 100
Snohomish, WA 98290-2018
Phone
(360) 568-9694
NPI assigned
Mar 15, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180314001048 WA Order and Referring Only - Dentist
Practitioner - Dentist
5597027383

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DE60293998WAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60293998 WA Yes

Addresses

Primary practice location

1001 Avenue D Ste 100
Snohomish, WA 98290-2018

Mailing address

5024 194TH St SW
Lynnwood, WA 98036-5449
Phone (206) 697-4569

Other providers in Snohomish, WA

All providers in Snohomish, WA · General Practice Dentistry in Washington

Sources for this page

Verify at the official NPI Registry.