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Deactivated NPI 1790795706 Deactivated / Inactive NPI Male Practitioner

Dr. Wonzel Mobley , DDS

Dentist - General Practice • Seattle, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wonzel Mobley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2006
NPI Deactivation Date July 25, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Wonzel Mobley, DDS was a registered Dentist - General Practice practicing in Seattle, WA. Throughout an active medical career spanning 12 years, Dr. Mobley provided care at the practice location at 1001 BROADWAY until profile deactivation on 2018-07-25.

Practice Location & Contact Primary Location

Practice Address

1001 Broadway
Suite # 312

Seattle, WA 981224397

Telephone 2063281042
Associated Practice Facility / Clinic
🏢 Bioscrip Pharmacy, Inc. Facility NPI 1548263403

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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 4032

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

21 Associated Practitioners
Dr. Albert Paige , PhD

Psychologist - Clinical

NPI 1053302539

Doctor of Philosophy (Ph.D.)

NPI 1225186802

Doctor of Philosophy (Ph.D.)

Dr. David Gordy , DDS

Dentist - Periodontics

NPI 1275612012

Doctor of Dental Surgery

Dr. Alan Breen , PhD

Clinical Neuropsychologist

NPI 1295880672

Doctor of Philosophy (Ph.D.)

Dr. Eric Trupin , PhD

Psychologist - Clinical Child & Adolescent

NPI 1386773224

Doctor of Philosophy (Ph.D.)

NPI 1407972441

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 25, 2018

Record deactivated on July 25, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1001 BROADWAY, SUITE # 312, SEATTLE, WA 981224397 (Tel: 2063281042)

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Updated Business Mailing Address July 08, 2007

Registered at 1001 BROADWAY, SUITE # 312, SEATTLE, WA 981224397 (Tel: 2063281042)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WONZEL MOBLEY, D.D.S.

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

Dentist (License #4032 in WA)

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Initial NPI Registration & Enumeration August 09, 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: 1790795706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: July 08, 2007
Deactivation Date: July 25, 2018

Mailing Address

1001 Broadway, Suite # 312

Seattle, WA 981224397

Phone: 2063281042

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.