MAPLE VALLEY DENTISTRY PROFESSIONALS
NPI 1023338522
Dentist - General Practice in Maple Valley, WA

Active since June 07, 2010
24015 SE KENT KANGLEY RD, SUITE C, MAPLE VALLEY, WA 98038(425) 433-0600(425) 433-0877 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maple Valley Dentistry Professionals NPPES

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

MAPLE VALLEY DENTISTRY PROFESSIONALS (NPI 1023338522) is a healthcare organization registered as a general practice in Maple Valley, Washington and active in the NPI registry since June 2010. The organization lists Bernardo Ezequiel Taina, President, as its authorized official.

NPPES Registry Identity

NPI1023338522
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMAPLE VALLEY DENTISTRY PROFESSIONALS
Location Address24015 SE KENT KANGLEY RD, SUITE CMaple Valley, WA 98038-6802
Mailing Address24015 Se Kent Kangley Rd, Suite CMaple Valley, WA 98038-6802 · (425) 433-0600 · Fax (425) 433-0877
Fax(425) 433-0877
Organization SubpartNo
Authorized OfficialBernardo Ezequiel TainaPresident · (425) 433-0600
Enumeration DateJune 7, 2010
Last NPPES UpdateApril 15, 2022
NPPES CertifiedApril 15, 2022
NPI 1023338522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · DE00009306
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

24015 SE KENT KANGLEY RD, Maple Valley, WA 98038

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
24015 SE KENT KANGLEY RD, SUITE C
MAPLE VALLEY, WA 98038

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 Maple Valley Dentistry Professionals's NPI number?

The NPI number for Maple Valley Dentistry Professionals is 1023338522. It was assigned to this organization in the NPPES registry on June 7, 2010.

Where is Maple Valley Dentistry Professionals located?

Maple Valley Dentistry Professionals is located at 24015 SE Kent Kangley Rd Suite C, Maple Valley, WA 98038. The listed phone number is (425) 433-0600.

What is Maple Valley Dentistry Professionals's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Maple Valley Dentistry Professionals was last updated on April 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.