Provider Demographics
NPI:1518095934
Name:BHIDE, JUI (DENTIST)
Entity Type:Individual
Prefix:DR
First Name:JUI
Middle Name:
Last Name:BHIDE
Suffix:
Gender:F
Credentials:DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9916 223RD PL NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-1956
Mailing Address - Country:US
Mailing Address - Phone:425-761-7236
Mailing Address - Fax:
Practice Address - Street 1:1130 140TH AVE NE # 100B
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2974
Practice Address - Country:US
Practice Address - Phone:425-746-6090
Practice Address - Fax:425-747-9856
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE9742122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist