Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396834453 Individual Practitioner Male Practitioner

Dr. Hassan Amin Jazaeri , DDS

Dentist - General Practice • Bothell, WA

Professional Overview & Biography Verified Profile Summary

Dr. Hassan Jazaeri, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bothell, WA. Practice services are available at 12900 NE 180TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12900 Ne 180th St
Suite210

Bothell, WA 980115773

Telephone 4254852978
Fax 4254854870
Associated Practice Facility / Clinic
🏢 Flex Physical Therapy Facility NPI 1679574479

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bothell, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
35 Specialists

Practicing in Bothell, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00009893

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1245503812
Keri Hollenbeck , PT

Physical Therapist

NPI 1295945376

Physical Therapist

Diane Thusat , PT

Physical Therapist

NPI 1306056478

Physical Therapist

Shannon Pazier , PT

Physical Therapist

NPI 1487915955

Physical Therapist

NPI 1588698179

Doctor of Medicine (M.D.)

NPI 1679978332

Doctor of Naturopathic Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12900 NE 180TH ST, SUITE210, BOTHELL, WA 980115773 (Tel: 4254852978)

📍
Updated Business Mailing Address July 08, 2007

Registered at 12900 NE 180TH ST, SUITE210, BOTHELL, WA 980115773 (Tel: 4254852978)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as HASSAN JAZAERI, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DE00009893 in WA)

🟢
Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396834453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

12900 Ne 180th St, Suite210

Bothell, WA 980115773

Phone: 4254852978

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.