Provider Demographics
NPI:1952955981
Name:NASRY, BISHOY HANY (DMD)
Entity Type:Individual
Prefix:DR
First Name:BISHOY
Middle Name:HANY
Last Name:NASRY
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 1:3424 MERIDIAN AVE N APT 11
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-9180
Mailing Address - Country:US
Mailing Address - Phone:971-344-9858
Mailing Address - Fax:
Practice Address - Street 1:8575 164TH AVE NE STE 301
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3679
Practice Address - Country:US
Practice Address - Phone:425-882-3033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-29
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAPPLIED1223E0200X
WADE613009601223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics