# GARY ELDON HEYAMOTO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851726368
- **Authorized official:** DR. GARY ELDON HEYAMOTO DDS (DENTIST/OWNER)
- **Authorized official phone:** (425) 485-8885

## Contact information

- **Practice address:** 1729 208TH ST SE STE 101, BOTHELL, WA 98012-7789
- **Practice address phone:** (425) 485-8885
- **Practice address fax:** (425) 485-8341
- **Mailing address:** 1729 208TH ST SE STE 101, BOTHELL, WA 98012-7789
- **Mailing address phone:** (425) 485-8885
- **Mailing address fax:** (425) 485-8341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5433 | WA | Yes |

## Other

- **Enumeration date:** 09/04/2013
- **Last updated:** 09/04/2013