BELLEVUE KIDS DENTIST
NPI 1063657393
Dentist in Bellevue, WA

Active since December 16, 2008
2150 112TH AVE NE STE A, BELLEVUE, WA 98004(425) 455-0784(425) 451-3999 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 30, 2020, Aug 19, 2020, Sep 30, 2019 and 1 more (4 updates tracked since 2019).

  • Organization
  • Dentist

About BELLEVUE KIDS DENTIST

This page provides the complete NPI Profile along with additional information for Bellevue Kids Dentist, a provider established in Bellevue, Washington operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1063657393 assigned on December 2008. The practitioner's primary taxonomy code is 122300000X with license number DE00008547 (WA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Bellevue Kids Dentist. The authorized official of this NPI record is La Nette Mcintosh Do (Regional Office Manager)

NPI
1063657393 Verify this NPI
Provider Legal Name
HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
Other Organization Name
BELLEVUE KIDS DENTIST
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2150 112TH AVE NE STE A BELLEVUE, WA 98004
Location Phone
(425) 455-0784
Location Fax
(425) 451-3999
Mailing Address
2150 112TH AVE NE STE A BELLEVUE, WA 98004
Mailing Phone
(425) 455-0784
Mailing Fax
(425) 451-3999
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-16-2008
Last Update Date
12-30-2020
Code Navigator

A dentist like Bellevue Kids Dentist is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
DE00008547
License State
WA
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LA NETTE MCINTOSH DO

Authorized Official Title
REGIONAL OFFICE MANAGER
Authorized Official Phone
(425) 396-1011

Reviews for BELLEVUE KIDS DENTIST

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
2150 112TH AVE NE STE A
BELLEVUE, WA 98004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063657393, enumerated as an "organization" on December 16, 2008.

The provider is located at 2150 112TH AVE NE STE A BELLEVUE, WA 98004 and the phone number is (425) 455-0784.

Dentist with taxonomy code 122300000X.