A Dental & Denture Associates, LLC

Primary specialty

DenturistTaxonomy code 122400000X

License

DN00000121 Issued in WA

Legal business name

A DENTAL & DENTURE ASSOCIATES, LLC

Doing business as

Northgate Denture Center

Practice address

11540 15TH Ave NE
Seattle, WA 98125-6322

Phone

(206) 440-1500

Fax

(206) 440-1501

NPI assigned

Jan 29, 2007

Last updated

Aug 22, 2020By 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

Angelica Patricia Collantes Summer

Title

DPD

Phone

(206) 440-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northgate Denture Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fawaz Hatem, BDS, MSD

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1053083295
  NPD (past)
• Angelica P Summer, DPD

  • Denturist
  • Seattle, WA
  • NPI 1386799856
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861538639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11540 15TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256322",
            "telephone_number": "206-440-1500",
            "fax_number": "206-440-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11540 15TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256322",
            "telephone_number": "206-440-1500",
            "fax_number": "206-440-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DENTAL & DENTURE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUMMER",
        "authorized_official_first_name": "ANGELICA PATRICIA",
        "authorized_official_middle_name": "COLLANTES",
        "authorized_official_title_or_position": "DPD",
        "authorized_official_telephone_number": "206-440-1500"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1386799856",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northgate Denture Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Denturist in Seattle, WA
• Providers in Seattle, WA by specialty
• Denturist in Washington

• 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.