Provider Demographics
NPI:1295188837
Name:PETER Y CHIEN DMD PLLC
Entity Type:Organization
Organization Name:PETER Y CHIEN DMD PLLC
Other - Org Name:BELLEVUE FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:425-614-1600
Mailing Address - Street 1:1299 156TH AVE NE
Mailing Address - Street 2:#115
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-4599
Mailing Address - Country:US
Mailing Address - Phone:425-614-1600
Mailing Address - Fax:425-614-1612
Practice Address - Street 1:1299 156TH AVE NE
Practice Address - Street 2:#115
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4599
Practice Address - Country:US
Practice Address - Phone:425-614-1600
Practice Address - Fax:425-614-1612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603141015261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental