1093097057 NPI number — SEATTLE EMERGENCY DENTAL CARE, USA INC

Table of content: (NPI 1093097057)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093097057 NPI number — SEATTLE EMERGENCY DENTAL CARE, USA INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SEATTLE EMERGENCY DENTAL CARE, USA INC
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:
1093097057
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/15/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2605 S 84TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OMAHA
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68124-3116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-597-1186
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12816 SE 38TH ST STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98006-1327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-521-9911
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/15/2011

Additional Information

Authorized Official

Authorized Official Last Name:
OBENG
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
402-597-1186

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  DE60065986 , 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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