person
Mitchell Grant Maughan, DDS
General Practice Dentistry in Edgewood, Washington
NPI 1043309875

Mitchell Grant Maughan is a General Practice Dentistry based in Edgewood, WA and is specialized in General Practice. Mitchell Grant Maughan practices in Edgewood, WA and has the professional credentials of DDS. The NPI Number for Mitchell Grant Maughan is 1043309875 and holds a License No. DEOOOO4111 (Washington).

The current practice location address for Mitchell Grant Maughan is 2511 Meridian Ave E, Edgewood, WA and can be reached out via phone at 253-845-8817 and via fax at 253-845-6491.

Location: 2511 Meridian Ave E, Edgewood, WA, 98371-2164
person
Provider Profile Details
NPI Number
1043309875
Provider Name
Mitchell Grant Maughan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2511 Meridian Ave E, Edgewood, WA, 98371-2164
Phone Number
253-845-8817
Fax Number
253-845-6491
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5730809 01 WA DSHS
institution
Provider Business Practice Location Address Details
Address
2511 Meridian Ave E
City
State
Zip
98371-2164
Phone Number
253-845-8817
Fax Number
253-845-6491
person
Provider Business Mailing Address Details
Address
2511 Meridian Ave E
City
State
Zip
98371-2164
Phone Number
253-845-8817
Fax Number
253-845-6491
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
DEOOOO4111 (Washington)
Definition
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.
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