Eastside Pediatric Dental Group
LBN: House, Lee, Mast, Mcdonald And Nelson, Pc
Eastside Pediatric Dental Group is an health care organization with primary practice located at 185 Ne Gilman Blvd , Issaquah WA 98027-2937. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
House, Lee, Mast, Mcdonald And Nelson, Pc can be contacted via phone (425) 392-4048, or through Mcintosh, Lanette via phone (425) 396-1011.
Contact Information
Primary practice address
185 Ne Gilman Blvd
Issaquah WA 98027-2937
Phone: (425) 392-4048
Fax: (425) 557-1138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 6912 | Washington |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 6870 | Washington |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 8235 | Washington |
Profile Details
| NPI number | 1831423292 |
|---|---|
| LBN Legal business name | House, Lee, Mast, Mcdonald And Nelson, Pc |
| DBA Doing business as | Eastside Pediatric Dental Group |
| Authorized official | Mcintosh, Lanette AO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 1st, 2009 |
| Last updated | Feb 25th, 2021 - about 4 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 | 1831423292 | NPPES |
| Washington | MEDICAID | 5017967 |
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