Provider Demographics
NPI:1639358336
Name:OGATA, GREGORY Y (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:Y
Last Name:OGATA
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
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Mailing Address - Street 1:22603 NE INGLEWOOD HILL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-7105
Mailing Address - Country:US
Mailing Address - Phone:425-868-6880
Mailing Address - Fax:425-868-5559
Practice Address - Street 1:22603 NE INGLEWOOD HILL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074-7105
Practice Address - Country:US
Practice Address - Phone:425-868-6880
Practice Address - Fax:425-868-5559
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA70811223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics