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Active NPI 1982799987 Individual Practitioner Male Practitioner

Dr. Matthew Adam Bagnulo , DDS

Dentist - General Practice • Kirkland, WA

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Bagnulo, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kirkland, WA. Practice services are available at 11830 NE 128TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11830 Ne 128th St
Suite 202

Kirkland, WA 980347202

Telephone 4258219000
Fax 4258142908
Associated Practice Facility / Clinic
🏢 Munson And Rude Ps Facility NPI 1588723696

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kirkland, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
55 Specialists

Practicing in Kirkland, 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 8814

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1013029719

Doctor of Optometry

Dr. Tom Rude , DDS

Dentist - Endodontics

NPI 1306818349

Doctor of Dental Surgery

Dr. David Richardson , DDS

Dentist - General Practice

NPI 1629119284

Doctor of Dental Surgery

Dr. Martin Rabin , DMD PS

Dentist - Periodontics

NPI 1669561262

DMDPS

Dr. Boyd Munson , DMD

Dentist - Endodontics

NPI 1811969496

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 11830 NE 128TH ST, SUITE 202, KIRKLAND, WA 980347202 (Tel: 4258219000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11830 NE 128TH ST, SUITE 202, KIRKLAND, WA 980347202 (Tel: 4258219000)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MATTHEW BAGNULO, DDS

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

Dentist (License #8814 in WA)

🟢
Initial NPI Registration & Enumeration October 04, 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: 1982799987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

11830 Ne 128th St, Suite 202

Kirkland, WA 980347202

Phone: 4258219000

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.