ISSAQUAH CREEK DENTAL – NPI #1013360502
Clinic/Center

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ISSAQUAH CREEK DENTAL is an AHC clinic located in SEATTLE, WA. NPPES has assigned the NPI number 1013360502 to ISSAQUAH CREEK DENTAL on July 19, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ISSAQUAH CREEK DENTAL” is a dba name, the actual legal business name for this organization is MARK GERMACK DDS PLLC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ISSAQUAH CREEK DENTAL below.

NPI Profile for
MARK GERMACK DDS PLLC

NPI Number

1013360502

Enumeration Date

Jul 19, 2016
(about 10 years ago)

Entity Type

Type-2 Organization

Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.

Legal Name

MARK GERMACK DDS PLLC

Doing Business As (dba): ISSAQUAH CREEK DENTAL

Primary location

720 OLIVE WAY
SUITE 835
SEATTLE, WA 98101

Phone: (206) 450-1939

Mailing address

Same as primary location

Organization Subpart

Authorized Official

MARK GERMACK
OWNER
Phone: (206) 450-1939

Updated

Jul 21, 2022

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
261QD0000X - Clinic/Center / Dental (Primary)	WA	DE00010298

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.