MEDICARE: DR. GEOFFREY ANDREW WAN DDS

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	DE6077598	WA

General Provider Information

NPI Number	:	1548430044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEOFFREY ANDREW WAN DDS

Provider Business Mailing Address
First Line	:	10495 NE 4TH ST.
Second Line	:	APT N244
City	:	BELLEVUE
State	:	WA
Zip	:	98004-2305
Country	:	US
Telephone Number	:	330-402-7891
Fax Number	:

Provider Business Practice Location Address
First Line	:	6607 WEST CANAL DR.
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99336-5077
Country	:	US
Telephone Number	:	330-884-3058
Fax Number	:	330-884-5788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2008
Last Update Date	:	07/13/2009

Similar Medicare Providers

1205182193 — DR. ROSEN GEORGIEV DIMOV DMD
Practice Location Address:

6607 W CANAL DR
KENNEWICK, WA
99336-5077

Practice Phone: 862-452-0961
Practice Fax:

1144839291 — DR MILESKI DDS III PLLC
Practice Location Address:

6607 W CANAL DR STE B
KENNEWICK, WA
99336-5077

Practice Phone: 509-783-7070
Practice Fax:

1982200879 — MAIRA SABEEH DMD
Practice Location Address:

6607 W CANAL DR STE B
KENNEWICK, WA
99336-5077

Practice Phone: 509-783-7070
Practice Fax:

1669335410 — CRYSTAL BEACH
Practice Location Address:

10505 W CLEARWATER AVE
KENNEWICK, WA
99336-8613

Practice Phone: 509-378-5553
Practice Fax:

1295514255 — MIRIAM N/A LONGORIA BSW
Practice Location Address:

LUTHERAN COMMUNITY SERVICES NW , 3321 W KENNEWICK AVE SUITE 150
KENNEWICK, WA
99336

Practice Phone: 509-735-6446
Practice Fax:

1356199095 — SYLVIA FLORES
Practice Location Address:

6855 W CLEARWATER AVE STE K
KENNEWICK, WA
99336-1720

Practice Phone: 509-792-6162
Practice Fax:

Directions to “ DR. GEOFFREY ANDREW WAN DDS” 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.