Rafael Dino Dimayuga, DDS
Dentist, General Practice in Arlington, WA. Individual provider (NPI-1).
NPI number1801009014
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1801009014
- Entity type
- Individual (NPI-1)
- Name
- Rafael Dino Dimayuga
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 7, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DE00010388 | WA | Yes |
Practice location
3533 172nd St NeBldg B
Arlington, WA 98223
Phone 360-658-3000 · Fax 360-653-1560
Mailing address
8817 123rd Ln NeKirkland, WA 98033-5876
Phone 360-658-3000 · Fax 360-653-1560
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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