Bruce Patrick, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6139 Issued in WA

Practice address

22010 17TH Ave SE
#B
Bothell, WA 98021-8486

Phone

(425) 481-8571

NPI assigned

Jan 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gregory G. Wang, DDS, PLLC

  • Dental Clinic/Center
  • Bothell, WA
  • NPI 1144062001
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861547424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 117TH PL SW",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982754879",
            "telephone_number": "425-349-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22010 17TH AVE SE",
            "address_2": "#B",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218486",
            "telephone_number": "425-481-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "BRUCE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Partnermd Washington, PC
• Sheryle Shawnte Pat
• Pooja S Patel
• Smita Patel, DMD, MS
• Pathways of Learning
• Chevelle J Patterson
• Paige Linder Pattillo, LMP
• Alex Paul
• Aglow Dawning Pauls
• Patricia R. Paxton, LMP

• General Practice Dentistry in Bothell, WA
• Providers in Bothell, 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 Jul 8, 2007; 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.