Healthcare Provider Details

I. General information

NPI: 1295428597
Provider Name (Legal Business Name): YASHI MAHESHWARI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2023
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 SE EVERETT MALL WAY STE 101
EVERETT WA
98208-2833
US

IV. Provider business mailing address

1101 10TH PL S # 202
BIRMINGHAM AL
35205-4682
US

V. Phone/Fax

Practice location:
  • Phone: 425-426-2077
  • Fax:
Mailing address:
  • Phone: 425-595-7975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDE.70014780
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDE70014780
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: