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Active NPI 1043309875 Individual Practitioner Male Practitioner

Dr. Mitchell Grant Maughan , DDS

Dentist - General Practice • Edgewood, WA

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Maughan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Edgewood, WA. Practice services are available at 2511 MERIDIAN AVE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2511 Meridian Ave E

Edgewood, WA 983712164

Telephone 2538458817
Fax 2538456491
Associated Practice Facility / Clinic
🏢 North Hill Dental Facility NPI 1598623142

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Edgewood, WA

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

Practicing in Edgewood, 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 DEOOOO4111

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dshs
5730809 (WA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Keavin Mcintosh , DMD

Dentist - General Practice

NPI 1194736363

Doctor of Dental 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 2511 MERIDIAN AVE E, EDGEWOOD, WA 983712164 (Tel: 2538458817)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2511 MERIDIAN AVE E, EDGEWOOD, WA 983712164 (Tel: 2538458817)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MITCHELL MAUGHAN, DDS

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

Dentist (License #DEOOOO4111 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: 1043309875
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

2511 Meridian Ave E

Edgewood, WA 983712164

Phone: 2538458817

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.