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General NPI Number Information
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NPI Number | 1164347944
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Entity Type | Organization
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Legal Business Name | OFP, TMJ AND DSM SPECIALISTS
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 16824 44TH AVE W STE 190
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City | LYNNWOOD
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State | WA
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Zip | 98037-3117
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Country | US
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Telephone | 425-322-1865
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Fax |
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Provider Business Mailing Address
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Address Line | 16212 BOTHELL EVERETT HWY # F115
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City | MILL CREEK
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State | WA
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Zip | 98012-1603
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Country | US
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Telephone | 425-322-1865
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMIT WADKE
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Credential | BDS, MS, MHA
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Telephone | 425-322-1865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number |
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License Number State |
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