Paravecchio, Russell F
Paravecchio, Russell F is an sole proprietor health care provider with primary practice located at 705 136Th Pl Ne , Bellevue WA 98005-4722. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Paravecchio, Russell F can be contacted via phone (425) 644-6096.Contact Information
Primary practice address
705 136Th Pl Ne
Bellevue WA 98005-4722
Phone: (425) 644-6096
Fax: (425) 644-8115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DE00004661 | Washington |
| Dental Providers / Dentist Anesthesiologist | 1223D0004X | DE00004661 | Washington |
Profile Details
| NPI number | 1144208505 |
|---|---|
| LBN Legal business name | Paravecchio, Russell F |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Dec 13th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144208505 | NPPES |
| Washington | MEDICAID | 5047774 |
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