Eastside Pediatric Dental Group is a Pediatric Dental Clinic in Issaquah, Washington. It is located at 185 Ne Gilman Blvd, Issaquah, WA and its contact number is 425-392-4048. The authorized person for Eastside Pediatric Dental Group is Lanette Mcintosh
who is Regional Operations Manager of the clinic and their contact number is 425-396-1011. The primary license number for Eastside Pediatric Dental Group is 6912 (Pediatric Dentistry) in Washington. Eastside Pediatric Dental Group Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Eastside Pediatric Dental Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Eastside Pediatric Dental Group
Specialization:
Pediatric Dentistry
Clinic Address:
185 Ne Gilman Blvd, Issaquah, Washington, 98027-2937
Phone:
425-392-4048
Fax:
425-557-1138
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Lanette Mcintosh
Position:
Regional Operations Manager
Contact Number:
425-396-1011
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Eastside Pediatric Dental Group clinic are as mentioned below.
NPI Number:
1831423292
NPI Enumeration Date:
01 Oct, 2009
NPI Last Update On:
25 Feb, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eastside Pediatric Dental Group are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
6912
Washington
Primary
Pediatric Dentistry
6870
Washington
Secondary
Pediatric Dentistry
8235
Washington
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5017967
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Eastside Pediatric Dental Group 185 Ne Gilman Blvd, Issaquah, Washington
Zip:
98027-2937
Phone Number:
425-392-4048
Fax Number:
425-557-1138
Patients can reach Eastside Pediatric Dental Group at 185 Ne Gilman Blvd, Issaquah, Washington or can call to book an appointment on 425-392-4048. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.