Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780090357 Individual Practitioner Male Practitioner

Abdelrahim Eljack

Dentist • Grandview, WA

Professional Overview & Biography Verified Profile Summary

Abdelrahim Eljack is a registered healthcare professional specializing in Dentist in Grandview, WA. Practice services are available at 1000 WALLACE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 Wallace Way

Grandview, WA 989308805

Telephone 5098823444
Fax 5098821097
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Grandview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Grandview, WA (2853 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

CMS Verified: 2021-03-17
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE60882177

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.

Practice Associates & Co-Workers

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

38 Associated Practitioners
Dr. Ivan Cruse , MD

Student in an Organized Health Care Education/Training Program

NPI 1013769553

Doctor of Medicine (M.D.)

NPI 1053201319
Dr. Blake Bond , MD

Family Medicine

NPI 1053605493

Doctor of Medicine (M.D.)

Paige Briggs , RD

Dietitian, Registered

NPI 1053827956

Registered Dietitian

Thatcher Felt

Pediatrics

NPI 1093713059
Dr. Christopher Calderon-Rogers , MD

Student in an Organized Health Care Education/Training Program

NPI 1124813662

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location April 23, 2020

Registered at 1000 WALLACE WAY, GRANDVIEW, WA 989308805 (Tel: 5098823444)

📍
Updated Business Mailing Address April 23, 2020

Registered at 1000 WALLACE WAY, GRANDVIEW, WA 989308805 (Tel: 5098823444)

📍
Updated Practice Location October 02, 2018

Registered at 6120 CAPITOL BLVD SE, TUMWATER, WA 985015271 (Tel: 8554336825)

📍
Updated Business Mailing Address October 02, 2018

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611 (Tel: 8554336825)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2018

Dentist (License #DE60882177 in WA)

NPI Profile Active July 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2014

Registered at 56 FRANKLIN ST, DENTAL DEPARTMENT, WATERBURY, CT 067061253 (Tel: 7037097055)

📍
Updated Business Mailing Address July 03, 2014

Registered at 100 JEFFERSON SQ APT 2F, WATERBURY, CT 067061104 (Tel: 7033888944)

👤
Provider Name / Credentials Updated July 03, 2014

Recorded as ABDELRAHIM ELJACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 03, 2014

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: 1780090357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2014
Last Update: March 17, 2021
Sole Proprietor: No

Mailing Address

1000 Wallace Way

Grandview, WA 989308805

Phone: 5098823444

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.