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Active NPI 1417681198 Individual Practitioner Male Practitioner

Dr. Shiv Pruthi , DMD, MPH

Dentist - General Practice • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Dr. Shiv Pruthi, DMD, MPH is a registered healthcare professional specializing in Dentist - General Practice in Seattle, WA. Practice services are available at 1732 BROADWAY UNIT 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1732 Broadway Unit 101

Seattle, WA 981222621

Telephone 2067851327
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
459 Specialists

Practicing in Seattle, 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: 2023-10-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE61478519

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License AZ D011502

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.

Secondary Practice Locations

1442 E Chandler Blvd Ste 110

Phoenix, AZ 850486265

Phone: 4804601911

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1689467664

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 16, 2023

Registered at 1732 BROADWAY UNIT 101, SEATTLE, WA 981222621 (Tel: 2067851327)

NPI Profile Active July 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2022

Registered at 1442 E CHANDLER BLVD STE 110, PHOENIX, AZ 850486265 (Tel: 4804601911)

📍
Updated Business Mailing Address July 10, 2022

Registered at 2651 BRAEBURN LN SW, ROCHESTER, MN 559023495 (Tel: 5079938183)

👤
Provider Name / Credentials Updated July 10, 2022

Recorded as SHIV PRUTHI, DMD, MPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2022

Dentist (License #D011502 in AZ)

🟢
Initial NPI Registration & Enumeration July 10, 2022

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: 1417681198
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2022
Last Update: October 16, 2023
Sole Proprietor: No

Mailing Address

2651 Braeburn Ln Sw

Rochester, MN 559023495

Phone: 5079938183

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.