| Mccauley Family and Cosmetic Dentistry | |
|
18323 98th Ave Ne Suite 2 Bothell WA 98011-3358 | |
| (425) 354-3138 | |
| (425) 998-9334 |
| Full Name | Mccauley Family and Cosmetic Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18323 98th Ave Ne, Bothell, Washington |
| Authorized Official Name and Position | Amanda Koeppel Mccauley (OWNER DENTIST) |
| Authorized Official Contact | 4253543138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccauley Family and Cosmetic Dentistry 18323 98th Ave Ne Suite 2 Bothell WA 98011-3358 Ph: (425) 354-3138 | Mccauley Family and Cosmetic Dentistry 18323 98th Ave Ne Suite 2 Bothell WA 98011-3358 Ph: (425) 354-3138 |
| NPI Number | 1093168791 |
|---|---|
| Provider Enumeration Date | 07/18/2016 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093168791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60460512 (Washington) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Secondary |
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