| Uw Dentists - Perio Clinic | |
|
1959 Ne Pacific St Seattle WA 98195-0001 | |
| (206) 616-8794 | |
| Not Available |
| Full Name | Uw Dentists - Perio Clinic |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1959 Ne Pacific St, Seattle, Washington |
| Authorized Official Name and Position | Robert Russell (MANAGER, PATIENT ACCOUNTS OFFICE) |
| Authorized Official Contact | 2066168794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uw Dentists - Perio Clinic 1959 Ne Pacific St P.o. Box 357131 Seattle WA 98195-0001 Ph: (206) 616-8794 | Uw Dentists - Perio Clinic 1959 Ne Pacific St Seattle WA 98195-0001 Ph: (206) 616-8794 |
| NPI Number | 1003968074 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003968074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DE00009326 (Washington) | Primary |
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