Everett Denture Center Pllc

LBN: Everett Denture Center Pllc
Everett Denture Center Pllc is an health care organization with primary practice located at 4367 Rucker Ave , Everett WA 98203-2213. The organization recently has only one registered license in Dental Providers / Denturist, which is considered as the primary health care specialty. Everett Denture Center Pllc can be contacted via phone (425) 259-2800, or through Cheslik, Mark via phone (425) 259-2800.

Contact Information

Primary practice address
4367 Rucker Ave Everett WA 98203-2213
Phone: (425) 259-2800
Fax: (425) 259-2800
Website:
Map and Directions
Authorized official contact:
Name: Cheslik, Mark
Phone: (425) 259-2800

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN00000342 Washington

Profile Details

NPI number 1174840896
LBN Legal business name Everett Denture Center Pllc
DBA Doing business as
Authorized official Cheslik, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2010
Last updated Apr 21st, 2010 - about 16 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 1174840896 NPPES
Washington MEDICAID 5049812

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