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Active NPI 1851726368 Organization (Entity Type 2)

Gary Eldon Heyamoto

Dentist • Bothell, WA

About Gary Eldon Heyamoto NPI 1851726368 Summary

Gary Eldon Heyamoto is a verified healthcare organization specializing in Dentist operating in Bothell, WA. Located at 1729 208TH ST SE STE 101, this facility provides patient care and medical services under National Provider Identifier (NPI) 1851726368.

Administrative operations and authorized compliance are overseen by Gary Heyamoto (Dentist/Owner).

Facility Location & Contact Primary Location

Facility Address

1729 208th St Se Ste 101

Bothell, WA 980127789

Telephone 4254858885
Fax 4254858341

Authorized Official Information

Authorized Contact Name

DR. Gary Heyamoto , DDS

Title / Role

Dentist/owner

Official Telephone

4254858885

Facility Classifications & Specialties

Dentist Primary Taxonomy

NUCC Taxonomy Code: 122300000X

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Facility & Registry History Timeline

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

6 Historical Events
NPI Profile Active September 04, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 04, 2013

Registered at 1729 208TH ST SE STE 101, BOTHELL, WA 980127789 (Tel: 4254858885)

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Updated Business Mailing Address September 04, 2013

Registered at 1729 208TH ST SE STE 101, BOTHELL, WA 980127789 (Tel: 4254858885)

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Organization / Clinic Name Updated September 04, 2013

Operating as GARY ELDON HEYAMOTO

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2013

Dentist (License #5433 in WA)

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Initial NPI Registration & Enumeration September 04, 2013

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1851726368
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 04, 2013
Last Update: September 04, 2013

Mailing Address

1729 208th St Se Ste 101

Bothell, WA 980127789

Phone: 4254858885

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.