1023479847 NPI number — MORENO AND YOUNG D.D.S. P.L.L.C.

Table of content: (NPI 1023479847)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023479847 NPI number — MORENO AND YOUNG D.D.S. P.L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MORENO AND YOUNG D.D.S. P.L.L.C.
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:
6
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:
1023479847
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/26/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3115 HOWE PL STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELLINGHAM
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98226-5647
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-676-0642
Provider Business Mailing Address Fax Number:
360-676-1418

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3115 HOWE PL STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLINGHAM
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98226-5647
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-676-0642
Provider Business Practice Location Address Fax Number:
360-676-1418
Provider Enumeration Date:
03/08/2016

Additional Information

Authorized Official

Authorized Official Last Name:
MORENO
Authorized Official First Name:
RONALD
Authorized Official Middle Name:
ASAEL
Authorized Official Title or Position:
MANAGER MEMBER
Authorized Official Telephone Number:
360-676-0642

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  603588029 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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