Edmonds Bay Dental

LBN: Edmonds Bay Dental
Edmonds Bay Dental is an health care organization with primary practice located at 51 W Dayton Suite 301, Edmonds WA 98020. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Edmonds Bay Dental can be contacted via phone (425) 775-5162, or through Mischel, James V via phone (425) 775-5162.

Contact Information

Primary practice address
51 W Dayton Suite 301 Edmonds WA 98020
Phone: (425) 775-5162
Fax: (425) 491-8100
Website:
Map and Directions
Authorized official contact:
Name: Mischel, James V Doctor of Dental Surgery (DDS)
Phone: (425) 775-5162

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE00005091 Washington
Dental Providers / Dentist 122300000X DE0010360 Washington

Profile Details

NPI number 1942279997
LBN Legal business name Edmonds Bay Dental
DBA Doing business as
Authorized official Mischel, James V Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942279997 NPPES
Washington MEDICAID 5049457

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