Pacific Northwest Dental Anesthesia Services Llc, NPI 1003284134
Dentist Anesthesiologist in Mercer Island, WA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1003284134
NPI Entity Type Organization
Provider Name Pacific Northwest Dental Anesthesia Services Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 9004 W Shorewood Dr, Apt 519, Mercer Island, WA, US
Provider Mailing Address 9004 W Shorewood Dr, Apt 519, Mercer Island, WA, US, 980403245
Is Sole Proprietor? No
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Organization Official

Official Name DR. DDS Geoffrey Timothy Bean
Official Position OWNER
Phone 425-214-3960

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

1223D0004X

Taxonomy Name Dentist Anesthesiologist
Classification

Dentist

Group

Dental Providers

License No. GA60587955
License State WA
Description A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

Business Address

Pacific Northwest Dental Anesthesia Services Llc
9004 W Shorewood Dr
Apt 519

Mercer Island, WA, US

Phone: 425-214-3960

Mailing Address

Pacific Northwest Dental Anesthesia Services Llc
9004 W Shorewood Dr
Apt 519
Mercer Island, WA, US
ZIP 980403245
Phone: 425-214-3960

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