1134572977 NPI number — SARA ARNOLD SILVESTRI, DDS, PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134572977 NPI number — SARA ARNOLD SILVESTRI, DDS, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SARA ARNOLD SILVESTRI, DDS, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134572977
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/17/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16708 BOTHELL EVERETT HWY
Provider Second Line Business Mailing Address:
SUITE 203
Provider Business Mailing Address City Name:
MILL CREEK
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98012-6345
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-481-7827
Provider Business Mailing Address Fax Number:
425-481-7830

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16708 BOTHELL EVERETT HWY
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
MILL CREEK
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98012-6345
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-481-7827
Provider Business Practice Location Address Fax Number:
425-481-7830
Provider Enumeration Date:
07/17/2016

Additional Information

Authorized Official

Authorized Official Last Name:
SILVESTRI
Authorized Official First Name:
SARA
Authorized Official Middle Name:
A
Authorized Official Title or Position:
DENTIST/OWNER
Authorized Official Telephone Number:
734-649-8805

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  DE60270996 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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