Id Dental

LBN: International Community Health Services
Id Dental is an health care organization with primary practice located at 720 8Th Ave S 100, Seattle WA 98104-3032. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. International Community Health Services can be contacted via phone (206) 788-3700, or through Shahbazian, Hermes via phone (206) 788-3618.

Contact Information

Primary practice address
720 8Th Ave S 100 Seattle WA 98104-3032
Phone: (206) 788-3700
Fax: (206) 788-3704
Website:
Map and Directions
Authorized official contact:
Name: Shahbazian, Hermes
Phone: (206) 788-3618

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 600436519 Washington

Profile Details

NPI number 1356428601
LBN Legal business name International Community Health Services
DBA Doing business as Id Dental
Authorized official Shahbazian, Hermes
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 29th, 2021 - about 3 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 1356428601 NPPES
Washington MEDICAID 5023353

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