Individual
DR. JEFFREY ALAN HIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
11105 MAIN ST, BELLEVUE, WA 98004-6319
(425) 462-0756
(425) 688-0688
Mailing address
10256 SE 7TH ST, BELLEVUE, WA 98004-6182
(425) 453-0236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6166
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00542
WASHINGTON DENTAL SERVICE
WA
01
—
60167-1
DENTAL BENEFITS NUMBER
WA
01
—
625617
UNITED CONCORDIA NUMBER
WA
01
—
H19298
REGENCE NUMBER
WA
Enumeration date
10/03/2006
Last updated
07/08/2007
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