Prodental Family Dentistry
LBN: Valeriy Beliy Dmd, Pllc
Prodental Family Dentistry is an health care organization with primary practice located at 3005 Alderwood Mall Pkwy Ste 200, Lynnwood WA 98036-6920. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Valeriy Beliy Dmd, Pllc can be contacted via phone (425) 673-8919, or through Beliy, Valeriy via phone (425) 673-8919.
Contact Information
Primary practice address
3005 Alderwood Mall Pkwy Ste 200
Lynnwood WA 98036-6920
Phone: (425) 673-8919
Fax: (425) 673-5674
Website:
Authorized official contact:
Name: Beliy, Valeriy Doctor of Dental Medicine (DMD)
Phone: (425) 673-8919
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE 00008313 | Washington |
Profile Details
| NPI number | 1649589813 |
|---|---|
| LBN Legal business name | Valeriy Beliy Dmd, Pllc |
| DBA Doing business as | Prodental Family Dentistry |
| Authorized official | Beliy, Valeriy Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2010 |
| Last updated | Oct 5th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649589813 | NPPES |
| Washington | MEDICAID | 5033741 |
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