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Contact Information

RUSSELL F PARAVECCHIO, DMD
705 136TH PL NE
BELLEVUE, WA98005-4722
 Phone: 425-644-6096
 Fax: 425-644-8115
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist Anesthesiologist

1223D0004X
 

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for RUSSELL F PARAVECCHIO · (Male)

NPI # 1144208505
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/05/2006
Last updated 12/13/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # DE00004661
  • WA Medicaid 5047774
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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