Maple Valley Dentistry Professionals
General Practice Dentistry · Maple Valley, WA
Practice location
24015 SE Kent Kangley RdSuite C
Maple Valley, WA 98038-6802
- Phone
- (425) 433-0600
- Fax
- (425) 433-0877
NPI record
- NPI
- 1023338522
- Entity type
- Organization (Type 2)
- Enumeration date
- June 7, 2010
- Last updated
- April 15, 2022
- Certified
- April 15, 2022
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DE00009306 | WA |
Authorized official
- Name
- Dr. Bernardo Ezequiel Taina, D.D.S
- Title
- President
- Phone
- (425) 433-0600
About Maple Valley Dentistry Professionals
Maple Valley Dentistry Professionals is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 24015 SE Kent Kangley Rd, Suite C, Maple Valley, WA 98038-6802. The NPI number 1023338522 was assigned on June 7, 2010 and the record was last updated on April 15, 2022.
Maple Valley Dentistry Professionals lists a license in the registry: #DE00009306 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Bernardo Ezequiel Taina, D.D.S, President.
Frequently asked questions
What is the NPI number of Maple Valley Dentistry Professionals?
The NPI number is 1023338522.
What is the phone number of Maple Valley Dentistry Professionals?
The phone number listed for the practice location is (425) 433-0600.
Where is Maple Valley Dentistry Professionals located?
24015 SE Kent Kangley Rd, Suite C, Maple Valley, WA 98038-6802.
What is the taxonomy code for Maple Valley Dentistry Professionals?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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