Provider Demographics
NPI:1689800096
Name:GOEL, YOGESH (DMD)
Entity Type:Individual
Prefix:
First Name:YOGESH
Middle Name:
Last Name:GOEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3645 115TH AVE NE
Mailing Address - Street 2:H309
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-7818
Mailing Address - Country:US
Mailing Address - Phone:617-763-4217
Mailing Address - Fax:
Practice Address - Street 1:17705 140TH AVE NE
Practice Address - Street 2:SUITE A-14
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-4355
Practice Address - Country:US
Practice Address - Phone:617-763-4217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE601271971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice