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PACIFIC NORTHWEST DENTAL ANESTHESIA SERVICES LLC
NPI 1003284134
Dentist - Dentist Anesthesiologist in Mercer Island, WA

Active since September 06, 2015
9004 W SHOREWOOD DR, APT 519, MERCER ISLAND, WA 98040(425) 214-3960 Get Directions Write a Review

NPPES record last updated: September 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pacific Northwest Dental Anesthesia Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC NORTHWEST DENTAL ANESTHESIA SERVICES LLC (NPI 1003284134) is a healthcare organization registered as a dentist anesthesiologist in Mercer Island, Washington and active in the NPI registry since September 2015. The organization lists Geoffrey Timothy Bean, Owner, as its authorized official.

NPPES Registry Identity

NPI1003284134
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NamePACIFIC NORTHWEST DENTAL ANESTHESIA SERVICES LLC
Location Address9004 W SHOREWOOD DR, APT 519Mercer Island, WA 98040-3245
Mailing Address9004 W Shorewood Dr, Apt 519Mercer Island, WA 98040-3245 · (425) 214-3960
Phone(425) 214-3960
Organization SubpartNo
Authorized OfficialGeoffrey Timothy BeanOwner · (425) 214-3960
Enumeration DateSeptember 6, 2015
✔ NPI 1003284134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License✔ Licensed in WA · GA60587955
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
9004 W SHOREWOOD DR, Mercer Island, WA 98040
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Northwest Dental Anesthesia Services LLC's NPI number?

The NPI number for Pacific Northwest Dental Anesthesia Services LLC is 1003284134. It was assigned to this organization in the NPPES registry on September 6, 2015.

Where is Pacific Northwest Dental Anesthesia Services LLC located?

Pacific Northwest Dental Anesthesia Services LLC is located at 9004 W Shorewood Dr Apt 519, Mercer Island, WA 98040. The listed phone number is (425) 214-3960.

What is Pacific Northwest Dental Anesthesia Services LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Pacific Northwest Dental Anesthesia Services LLC was last updated on September 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.