Mill Creek General Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DE60302120 Issued in WA

Legal business name

MILL CREEK GENERAL DENTISTRY

Practice address

15704 Mill Creek Blvd
Mill Creek, WA 98012-1572

Phone

(425) 337-5549

NPI assigned

Sep 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kerry Olszewski, DDS

Title

Dentist

Phone

(425) 337-5549

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerry M Russell-Olszewski, D.D.S.

  • Dentist
  • Mill Creek, WA
  • NPI 1447503479
  NPD (past)

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1952702342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15704 MILL CREEK BLVD",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121572",
            "telephone_number": "425-337-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15704 MILL CREEK BLVD",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121572",
            "telephone_number": "425-337-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL CREEK GENERAL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "OLSZEWSKI",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-337-5549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60302120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mill Creek Family Eyewear
• Mill Creek Family Medicine, Inc
• Mill Creek Family Practice PLLC
• Mill Creek Family Services, PLLC
• Mill Creek Foot & Ankle Clinic P.C.
• Mill Creek Implants & Periodontics
• Mill Creek Pharmacy Inc (Mill Creek Pharmacy)
• Mill Creek Physical Therapy & Sports Rehab, Inc. P.S.
• Mill Creek Wellness Center
• Mill Creek Wellness Center, PS (Mill Creek Wellness Center)

• Dentist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.