Quality Dental and Denture Care, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

QUALITY DENTAL AND DENTURE CARE, INC.

Practice address

19550 Aurora Ave N
Shoreline, WA 98133-3521

Phone

(206) 542-2196

NPI assigned

Apr 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victor Nikoliy Razumovich

Title

President

Phone

(206) 542-2196

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831212364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333521",
            "telephone_number": "206-542-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333521",
            "telephone_number": "206-542-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY DENTAL AND DENTURE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAZUMOVICH",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "NIKOLIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-542-2196"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.