NPIMap

Organization Active NPI

Bellingham Denture Clinic, Inc

  • Denturist
  • Bellingham, WA
National Provider Identifier
1972839488
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
00000395 Issued in WA
Legal business name
BELLINGHAM DENTURE CLINIC, INC
Practice address
1329 King Street
Bellingham, WA 98229
Phone
(360) 647-0395
Fax
(360) 594-4387
NPI assigned
Oct 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Clayton M. Sulek, DN - DENTURISTNPI 1265589980
Title
Denturist/Owner
Phone
(360) 305-9734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X 00000395 WA Primary

Addresses

Primary practice location

1329 King Street
Bellingham, WA 98229

Mailing address

1329 King Street
Bellingham, WA 98229
Phone (360) 647-0395

National Provider Directory

National Provider Directory

Locations

2003 N State St
#B
Bellingham, WA 98225

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1972839488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 KING STREET",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98229",
            "telephone_number": "360-647-0395",
            "fax_number": "360-594-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 KING STREET",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98229",
            "telephone_number": "360-647-0395",
            "fax_number": "360-594-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM DENTURE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "SULEK",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DENTURIST/OWNER",
        "authorized_official_telephone_number": "360-305-9734",
        "authorized_official_credential": "DN - DENTURIST"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "WA",
            "license": "00000395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.