Organization
ORTHODONTIC ASSOCIATES OF MERCER ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM MCNEILL DDS, MS (OWNER)
(206) 232-9600
Entity
Organization
Contact information
Practice address
2817 80TH AVENUE SE, MERCER ISLAND, WA 98040-2913
(206) 232-9600
(206) 232-2936
Mailing address
2817 80TH AVENUE SE, MERCER ISLAND, WA 98040-2913
(206) 232-9600
(206) 232-2936
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3254
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3254
LICENSE NUMBER
WA
01
—
6809
LICENSE NUMBER
WA
Enumeration date
09/22/2006
Last updated
11/04/2013
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