STANWOOD DENTAL CARE – NPI #1881700920
Clinic/Center

STANWOOD DENTAL CARE is an AHC clinic located in STANWOOD, WA. NPPES has assigned the NPI number 1881700920 to STANWOOD DENTAL CARE on August 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “STANWOOD DENTAL CARE” is a dba name, the actual legal business name for this organization is KEVIN LEE DDS JOHANN TI DDS & MICHAEL HYODO 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 6 years ago on Aug 22, 2020. 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 STANWOOD DENTAL CARE below.

NPI Profile for
KEVIN LEE DDS JOHANN TI DDS & MICHAEL HYODO DDS PLLC

NPI Number
1881700920
Enumeration Date

(about 20 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
KEVIN LEE DDS JOHANN TI DDS & MICHAEL HYODO DDS PLLC
Doing Business As (dba): STANWOOD DENTAL CARE
Primary location
9612 270TH ST NW
7C
STANWOOD, WA 98292
Phone: (360) 629-1776 Fax: (360) 629-0541
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHANN TI
PARTNER
Phone: (360) 629-1776
Updated
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 6284

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.