Healthcare Provider Details
I. General information
NPI: 1902928757
Provider Name (Legal Business Name): MARIA G ORDONEZ DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/04/2007
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
509 OLIVE WAY SUITE 728
SEATTLE WA
98101-1720
US
IV. Provider business mailing address
509 OLIVE WAY SUITE 728
SEATTLE WA
98101-1720
US
V. Phone/Fax
- Phone: 206-622-8626
- Fax:
- Phone: 206-622-8626
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | DE00009782 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | DE00009782 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: