Gennadiy Kalvish, D.D.S.
Dentist, General Practice in Lynnwood, WA. Individual provider (NPI-1).
NPI number1972986313
StatusActive
Last updated in NPPESJul 2, 2015
Details
- NPI
- 1972986313
- Entity type
- Individual (NPI-1)
- Name
- Gennadiy Kalvish
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2015
- Last updated
- Jul 2, 2015
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 | DE60572275 | WA | Yes |
Practice location
1418 164th St SwSuite 100
Lynnwood, WA 98087-8500
Phone 425-742-8828
Mailing address
16027 Se 180th PlRenton, WA 98058-9176
Phone 253-632-8963
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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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