Active NPIIndividual providerSole proprietor

Yonatan Ahdut, DDS

Dentist in Tacoma, Washington

NPI Number1811303167
Practice location
1901 S Union Ave, Suite B-3008, Tacoma, WA 98405-1702
Fax
253-627-6766
Last updated
July 8, 2014

Yonatan Ahdut is a Dentist based in Tacoma, WA. Yonatan Ahdut practices in Tacoma, WA and has the professional credentials of DDS. The NPI Number for Yonatan Ahdut is 1811303167 and holds a License No. DE60479557 (WA). The current practice location address for Yonatan Ahdut is 1901 S Union Ave, Suite B-3008, Tacoma, WA 98405-1702 and can be reached out via phone at 253-572-9777 and via fax at 253-627-6766.

Provider Profile Details

NPI Number
1811303167
Provider Name
Yonatan Ahdut
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1901 S Union Ave, Suite B-3008, Tacoma, WA 98405-1702
Phone Number
253-572-9777
Fax Number
253-627-6766
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
July 8, 2014
Last Update Date
July 8, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1901 S Union Ave
Suite B-3008
Tacoma, WA 98405-1702
City
Tacoma
Zip
98405-1702
Phone Number
253-572-9777
Fax Number
253-627-6766
Tacoma, WA 98405Get directions →

Provider Business Mailing Address Details

Address
6517 25TH Ave NE
Apt. B
Seattle, WA 98115-7160
City
Seattle
State
WA
Zip
98115-7160
Phone Number
253-426-5821
Fax Number
253-627-6766

License Information

License Number
DE60479557
License State
WA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Yonatan Ahdut, DDS?

The NPI number of Yonatan Ahdut, DDS is 1811303167. It was assigned on July 8, 2014 and is currently active in the NPPES registry.

What is the specialty of Yonatan Ahdut, DDS?

Yonatan Ahdut, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in WA under license number DE60479557.

Where does Yonatan Ahdut, DDS practice?

The practice location is 1901 S Union Ave, Suite B-3008, Tacoma, WA 98405-1702. The office can be reached at 253-572-9777 (phone) or 253-627-6766 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811303167 directly on the NPPES registry website.

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