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Active NPI 1609392083 Organization (Entity Type 2)

Hwang-Bothell Pllc

Clinic/Center - Dental • Bothell, WA

About Hwang-Bothell Pllc NPI 1609392083 Summary

Hwang-Bothell Pllc is a verified healthcare organization specializing in Clinic/Center - Dental operating in Bothell, WA. Located at 17917 BOTHELL EVERETT HWY STE 305, this facility provides patient care and medical services under National Provider Identifier (NPI) 1609392083.

Administrative operations and authorized compliance are overseen by David Hwang (Manager).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

17917 Bothell Everett Hwy Ste 305

Bothell, WA 980126379

Telephone 4254811038
Fax 4254833158

Authorized Official Information

Authorized Contact Name

David Hwang

Title / Role

Manager

Official Telephone

4256415140

Facility Classifications & Specialties

Clinic/Center - Dental Primary Taxonomy

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Affiliated Practitioners & Clinicians

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

1 Linked
Dr. Steve Hwang , DDS NPI 1063593606

Dentist - General Practice

Bothell, WA

View Practitioner Profile →

Facility & Registry History Timeline

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

6 Historical Events
✅
NPI Profile Active August 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2017

Registered at 17917 BOTHELL EVERETT HWY STE 305, BOTHELL, WA 980126379 (Tel: (425) 481-1038)

📍
Updated Business Mailing Address August 17, 2017

Registered at 17917 BOTHELL EVERETT HWY STE 305, BOTHELL, WA 980126379 (Tel: 4254811038)

🏛️
Organization / Clinic Name Updated August 17, 2017

Operating as HWANG-BOTHELL PLLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2017

Clinic/Center (License #DE00009254 in WA)

🟢
Initial NPI Registration & Enumeration August 17, 2017

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: 1609392083
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 17, 2017
Last Update: July 21, 2022
Update or Correct Listing

Mailing Address

17917 Bothell Everett Hwy Ste 305

Bothell, WA 980126379

Phone: 4254811038

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.