Affordable Dental and Dentures,Inc

Primary specialty

DenturistTaxonomy code 122400000X

License

DN60034321 Issued in WA

Legal business name

AFFORDABLE DENTAL AND DENTURES,INC

Practice address

19550 Aurora Ave N
Shoreline, WA 98133-3521

Phone

(206) 542-2196

NPI assigned

Sep 17, 2008

Last updated

Sep 17, 2008By 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

Olga V Razumovich

Title

Officer

Phone

(206) 542-2196

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1952550758",
    "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": "AFFORDABLE DENTAL AND DENTURES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "RAZUMOVICH",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "206-542-2196"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE000010385",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009387",
            "primary": false
        },
        {
            "code": "122400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN60034321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.