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Active NPI 1689128746 Organization (Entity Type 2)

Brian Moody, Dds, Pllc

Dentist - General Practice • Bothell, WA

About Brian Moody, Dds, Pllc NPI 1689128746 Summary

Brian Moody, Dds, Pllc is a verified healthcare organization specializing in Dentist - General Practice operating in Bothell, WA. Located at 19214 BOTHELL WAY NE, SUITE C, this facility provides patient care and medical services under National Provider Identifier (NPI) 1689128746.

Administrative operations and authorized compliance are overseen by Brian Moody (Owner).

The facility is associated with 5 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

19214 Bothell Way Ne
Suite C

Bothell, WA 980116066

Telephone 4254850300

Authorized Official Information

Authorized Contact Name

DR. Brian Moody , DDS

Title / Role

Owner

Official Telephone

4254850300

Facility Classifications & Specialties

Dentist - General Practice Primary Taxonomy

NUCC Taxonomy Code: 1223G0001X

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.

Affiliated Practitioners & Clinicians

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

5 Linked

Dr. Glen Trinka , DDS NPI 1073642088

Dentist - General Practice

Bothell, WA

View Practitioner Profile →

Dr. Jeremy Chaison , DDS, MSD NPI 1114166378

Dentist - Orthodontics and Dentofacial Orthopedics

Bothell, WA

View Practitioner Profile →

Dr. Lisa Egbert , DDS NPI 1184715617

Dentist

Bothell, WA

View Practitioner Profile →

Dr. John Ive , DDS, MSD, PS NPI 1265514905

Dentist - Orthodontics and Dentofacial Orthopedics

Bothell, WA

View Practitioner Profile →

Dr. Christine Lentz , DDS NPI 1508947334

Dentist

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 August 06, 2016

NPI status registered as active in NPPES database

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Updated Practice Location August 06, 2016

Registered at 19214 BOTHELL WAY NE, SUITE C, BOTHELL, WA 980116066 (Tel: 4254850300)

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Updated Business Mailing Address August 06, 2016

Registered at 19214 BOTHELL WAY NE, SUITE C, BOTHELL, WA 980116066 (Tel: 4254850300)

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Organization / Clinic Name Updated August 06, 2016

Operating as BRIAN MOODY, DDS, PLLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2016

Dentist (License #DE00010023 in WA)

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Initial NPI Registration & Enumeration August 06, 2016

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: 1689128746

Entity Type:

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

Enumeration Date: August 06, 2016

Last Update: August 06, 2016

Update or Correct Listing

Mailing Address

19214 Bothell Way Ne, Suite C

Bothell, WA 980116066

Phone: 4254850300

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.