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DELTA DENTAL OF WASHINGTON
NPI 1174979918
Point of Service in Seattle, WA

Active since May 11, 2016
9706 4TH AVE NE, SEATTLE, WA 98115(206) 528-2351 Get Directions Write a Review

NPPES record last updated: May 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Delta Dental Of Washington NPPES

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

DELTA DENTAL OF WASHINGTON (NPI 1174979918) is a healthcare organization registered as a point of service in Seattle, Washington and active in the NPI registry since May 2016. The organization lists Bradley A Berg, Coo & Cfo, as its authorized official.

NPPES Registry Identity

NPI1174979918
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameDELTA DENTAL OF WASHINGTON
Location Address9706 4TH AVE NESeattle, WA 98115-2157
Mailing Address9706 4th Ave NeSeattle, WA 98115-2157 · (206) 528-2351
Phone(206) 528-2351
Organization SubpartNo
Authorized OfficialBradley A BergCoo & Cfo · (206) 528-2340
Enumeration DateMay 11, 2016
✔ NPI 1174979918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
9706 4TH AVE NE, Seattle, WA 98115
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Other Identifiers 1

Medicaid10261666WA

Other Providers at the Same Location NPPES 10

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

JOANN SHEPHERD MA, CDP, LMHC
Counselor (Mental Health)
9706 4TH AVE NE
SEATTLE, WA 98115
King County (206) 302-2900
WASHINGTON DENTAL SERVICE
Dentist (General Practice)
9706 4TH AVE NE
SEATTLE, WA 98115
King County (206) 528-2337
ARIONNA SCOTT LMHC, LPC
Counselor (Mental Health)
9706 4TH AVE NE
SEATTLE, WA 98115
King County (206) 302-2900
DORIANE E NIEBURGS MA, LMHC, CMHS
Counselor (Mental Health)
9706 4TH AVE NE, SUITE 303
SEATTLE, WA 98115
King County (206) 302-2925
MS. RENEE D PIERCE B.A.
Student in an Organized Health Care Education/Training Program
9706 4TH AVE NE, #303
SEATTLE, WA 98115
King County (206) 302-2910
JEFFREY STOVER PSYD
Psychologist
9706 4TH AVE NE, SUITE 203
SEATTLE, WA 98115
King County (206) 517-7697
MR. JED MARKUS LIN MSW, LICSW
Social Worker (Clinical)
9706 4TH AVE NE, SOUND MENTAL HEALTH
SEATTLE, WA 98115
King County (206) 302-2900
ALISON HANNA
Counselor (Mental Health)
9706 4TH AVE NE, SUITE 303
SEATTLE, WA 98115
King County (206) 302-2900

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 Delta Dental Of Washington's NPI number?

The NPI number for Delta Dental Of Washington is 1174979918. It was assigned to this organization in the NPPES registry on May 11, 2016.

Where is Delta Dental Of Washington located?

Delta Dental Of Washington is located at 9706 4th Ave NE, Seattle, WA 98115. The listed phone number is (206) 528-2351.

What is Delta Dental Of Washington's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Delta Dental Of Washington was last updated on May 11, 2016. 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.