Peysakhov, Dmitry

Peysakhov, Dmitry is an individual health care provider with primary practice located at 1416 Highlands Dr Ne Suite 120, Issaquah WA 98029-6240. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Peysakhov, Dmitry can be contacted via phone (781) 856-8080.

Contact Information

Primary practice address
1416 Highlands Dr Ne Suite 120 Issaquah WA 98029-6240
Phone: (781) 856-8080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS038644 Pennsylvania
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DE 60498667 Washington

Profile Details

NPI number 1477718229
LBN Legal business name Peysakhov, Dmitry
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2008
Last updated Sep 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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