| Northgate Smiles | |
|
11066 5th Ave Ne Ste 208 Seattle WA 98125-6156 | |
| (206) 362-1516 | |
| Not Available |
| Full Name | Northgate Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11066 5th Ave Ne Ste 208, Seattle, Washington |
| Authorized Official Name and Position | Sandra Hachler (RECEPTIONIST) |
| Authorized Official Contact | 4253449848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northgate Smiles 11066 5th Ave Ne Ste 208 Seattle WA 98125-6156 Ph: (206) 362-1516 | Northgate Smiles 11066 5th Ave Ne Ste 208 Seattle WA 98125-6156 Ph: (206) 362-1516 |
| NPI Number | 1568062701 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 05/17/2021 |
| Certification Date | 05/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568062701 | NPI | - | NPPES |
| 1174679278 | Other | WA | GENERAL DENTISTRY |
| 1962617910 | Other | WA | DR. ALUAS |
| 1174679278 | Other | WA | DR. AYLEN |
| 17000151172 | Other | WA | DR. ANSONG |
| 1962617910 | Other | WA | DR. PHIUR |
| 1760461214 | Other | WA | DR. EMAM |
| 1427100171 | Other | WA | DR. CRADDOCK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
| 1223P0300X | Dentist - Periodontics | (NU) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (NU) | Secondary |
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