MEDICARE: WASHINGTON DENTAL CORPORATION, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1164863452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WASHINGTON DENTAL CORPORATION, PC

Provider Business Mailing Address
First Line	:	17000 RED HILL AVE
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92614-5626
Country	:	US
Telephone Number	:	714-845-8890
Fax Number	:	949-474-1495

Provider Business Practice Location Address
First Line	:	955 PARK AVE N STE D
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98057-5560
Country	:	US
Telephone Number	:	425-793-6003
Fax Number	:	425-793-3505

Authorized Official
Title or Position	:	OWNER DOCTOR
Name	:	DR. WILLIAM J MCGLASHAN
Credential	:	DDS
Telephone Number	:	425-793-6003

Provider Enumeration Date	:	07/15/2013
Last Update Date	:	07/15/2013

Similar Medicare Providers

1023971942 — LAVELLE HORNE
Practice Location Address:

1412 SW 43RD ST STE 140
RENTON, WA
98057-4803

Practice Phone: 425-264-0750
Practice Fax:

1235092495 — CORRINE JANOG BSN, RN
Practice Location Address:

707 S GRADY WAY
RENTON, WA
98057-3224

Practice Phone: 800-658-0569
Practice Fax:

1558855791 — BRENDAN ROARKE MCDONALD DNP, ARNP, PMHNP-BC
Practice Location Address:

200 S 2ND ST
RENTON, WA
98057-2011

Practice Phone: 425-226-5536
Practice Fax: 425-226-0354

1497758148 — DR. KIRK E KING DDS
Practice Location Address:

66 WILLIAMS AVE S
RENTON, WA
98057

Practice Phone: 425-226-4090
Practice Fax:

1407858665 — MRS. NICOLE PREVO KAGEYAMA M.D.
Practice Location Address:

1412 SW 43RD ST STE 205
RENTON, WA
98057-4803

Practice Phone: 425-264-0660
Practice Fax: 425-264-0601

1891792370 — DR. PAUL SCOTT JENSEN O.D.
Practice Location Address:

112 PELLY AVE N
RENTON, WA
98057-5713

Practice Phone: 425-255-2020
Practice Fax: 425-255-2028

Directions to “WASHINGTON DENTAL CORPORATION, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.