Organization
ORTHODONTIC ASSOCIATES OF MERCER ISLAND
Active
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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