1881860864 NPI number — EDWARD H. PERKL, DDS, PS

Table of content: (NPI 1881860864)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881860864 NPI number — EDWARD H. PERKL, DDS, PS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EDWARD H. PERKL, DDS, PS
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:
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:
1881860864
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19718 68TH AVE W
Provider Second Line Business Mailing Address:
SUITE F
Provider Business Mailing Address City Name:
LYNNWOOD
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98036-5965
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-778-2126
Provider Business Mailing Address Fax Number:
425-775-2329

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19718 68TH AVE W
Provider Second Line Business Practice Location Address:
SUITE F
Provider Business Practice Location Address City Name:
LYNNWOOD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98036-5965
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-778-2126
Provider Business Practice Location Address Fax Number:
425-775-2329
Provider Enumeration Date:
04/30/2008

Additional Information

Authorized Official

Authorized Official Last Name:
PERKL
Authorized Official First Name:
EDWARD
Authorized Official Middle Name:
H
Authorized Official Title or Position:
DENTIST/PRESIDENT
Authorized Official Telephone Number:
425-778-2126

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  DE00004970 , 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)





Copyright © 2007-2025 www.npivalidator.com