Dr. Donald R Dematteis
Dentist Dental Assistant
32105 1st Ave S. B-2
Federal Way
, Washington 98003
Dr. Donald R Dematteis
Dentist Dental Assistant
32105 1st Ave S. B-2
Federal Way
, Washington 98003
(253) 838-2884
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About
Features
Specialties
- Dentist
- Dental Assistant
Languages spoken
- English
Location
First Address
- Dr. Donald R Dematteis
- 32105 1st Ave S B-2
- Federal Way, WA
- Zip : 98003
- Phone : (253) 838-2884
Second Address
- Dr. Donald R Dematteis
- 32105 1st Ave S. B-2
- Federal Way, WA
- Zip : 98003
- Phone : (253) 838-2884
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Is Dr. Donald R Dematteis a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | DE00003923 | WA |
| N | 126800000X | Dental Assistant | DE00003923 | WA |
National Provider Identifier
| NPI | 1366777393 |
|---|---|
| Provider Name | Dr. Donald R Dematteis |
| First Address | Federal Way, WA 98003 |
| Second Address | Federal Way, WA 98003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/10/2009 |
| Last Update Date | 19/12/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.