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Active NPI 1083433296 Organization (Entity Type 2)

Bothell Endodontics

Dentist - Endodontics • Bothell, WA

About Bothell Endodontics NPI 1083433296 Summary

Bothell Endodontics is a verified healthcare organization specializing in Dentist - Endodontics operating in Bothell, WA. Located at 19110 BOTHELL WAY NE STE 101, this facility provides patient care and medical services under National Provider Identifier (NPI) 1083433296.

Administrative operations and authorized compliance are overseen by Michelle Soriano (President).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

19110 Bothell Way Ne Ste 101

Bothell, WA 980112970

Telephone 4254829211

Authorized Official Information

Authorized Contact Name

Michelle Soriano , DDS

Title / Role

President

Official Telephone

4254829211

Facility Classifications & Specialties

Dentist - Endodontics Primary Taxonomy

NUCC Taxonomy Code: 1223E0200X

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked

Dr. Courtney Lang , DDS NPI 1104655398

Dentist

Bothell, WA

View Practitioner Profile →

Dr. Michelle Soriano , DDS, MSD NPI 1558810663

Dentist - Endodontics

Bothell, WA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active October 04, 2024

NPI status registered as active in NPPES database

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Updated Practice Location October 04, 2024

Registered at 19110 BOTHELL WAY NE STE 101, BOTHELL, WA 980112970 (Tel: 4254829211)

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Updated Business Mailing Address October 04, 2024

Registered at 19110 BOTHELL WAY NE STE 101, BOTHELL, WA 980112970 (Tel: 4254829211)

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Organization / Clinic Name Updated October 04, 2024

Operating as BOTHELL ENDODONTICS

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2024

Dentist

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Initial NPI Registration & Enumeration October 04, 2024

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1083433296

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: October 04, 2024

Last Update: October 04, 2024

Update or Correct Listing

Mailing Address

19110 Bothell Way Ne Ste 101

Bothell, WA 980112970

Phone: 4254829211

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.