1285065409 NPI number — DANIEL J CHOI DMD PLLC

Table of content: (NPI 1285065409)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285065409 NPI number — DANIEL J CHOI DMD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DANIEL J CHOI DMD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285065409
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/13/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
727 N 182ND ST # 201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SHORELINE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98133-4402
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-546-2424
Provider Business Mailing Address Fax Number:
206-546-2425

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
727 N 182ND ST # 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHORELINE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98133-4402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-546-2424
Provider Business Practice Location Address Fax Number:
206-546-2425
Provider Enumeration Date:
12/13/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHOI
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER DENTIST
Authorized Official Telephone Number:
206-546-2424

Provider Taxonomy Codes

  • Taxonomy code: 122300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)