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Active NPI 1669519153 Individual Practitioner Male Practitioner

Dr. Michael Kitsis , DMD

Dentist - General Practice • Issaquah, WA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Kitsis, DMD is a registered healthcare professional specializing in Dentist - General Practice in Issaquah, WA. Practice services are available at 22500 SE 64TH PL # G-120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22500 Se 64th Pl # G-120

Issaquah, WA 980278111

Telephone 4256699495
Fax 4252423300
Associated Practice Facility / Clinic
🏢 Onesmile Nw Holdings, Pllc Facility NPI 1417825845

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Issaquah, WA

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

Practicing in Issaquah, 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

CMS Verified: 2026-01-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 8543

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 Ubi
605939996 (WA)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 07, 2026

Registered at 22500 SE 64TH PL # G-120, ISSAQUAH, WA 980278111 (Tel: 4256699495)

📍
Updated Business Mailing Address January 07, 2026

Registered at 22500 SE 64TH PL # G-120, ISSAQUAH, WA 980278111 (Tel: 4256699495)

👤
Provider Name / Credentials Updated January 07, 2026

Recorded as MICHAEL KITSIS, DMD

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1420 E PINE ST # 605, SEATTLE, WA 98122 (Tel: 2065339693)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1420 E PINE ST UNIT 605, SEATTLE, WA 981228507 (Tel: 2065339693)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL KITSIS

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

Dentist (License #8543 in WA)

🟢
Initial NPI Registration & Enumeration January 31, 2007

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: 1669519153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2007
Last Update: January 07, 2026
Sole Proprietor: No

Mailing Address

22500 Se 64th Pl # G-120

Issaquah, WA 980278111

Phone: 4256699495

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.