Provail Dental Clinic in Seattle - Dental
Provail Dental Clinic - NPI 1487845327
Provail Dental Clinic is a Dental in Seattle, Washington. Provail Dental Clinic practices all healthcare services and medical treatments related to Dental. The NPI Number for Provail Dental Clinic is 1487845327. The last update date is 2022-07-21.
Provail Dental Clinic's current location address is 10215 Lake City Way Ne Ste E, Seattle, Washington. You can contact this provider via phone number 2066322612. The mailing address for Provail Dental Clinic is 10215 Lake City Way Ne Ste E, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Provail Dental Clinic |
|---|---|
| Address | 10215 Lake City Way Ne Ste E, Seattle, Washington |
| Phone Number | 2066322612 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Hatzenbeler Michael |
| Telephone Number | 2068261044 |
NPI Number Detail
| NPI Number | 1487845327 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 10215 Lake City Way Ne Ste E |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 981257758 |
| Phone Number | 2066322612 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5716808 | WA | -- |
Post Comment/ Review Below
What is the Provail Dental Clinic's 1487845327?
The Provail Dental Clinic's NPI (National Provider Identifier) Number is 1487845327. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Provail Dental Clinic is located?
The Provail Dental Clinic is situated at the following address: 10215 Lake City Way Ne Ste E, Seattle, WA, 981257758.
What is Provail Dental Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Provail Dental Clinic is Dental, and the taxonomy classification code that categorizes this area of expertise is 261Qd0000X.
On what date did the Provail Dental Clinic receive the assignment of its 1487845327 from the Centers for Medicare & Medicaid Services?
The Provail Dental Clinic was issued its 1487845327 by the Centers for Medicare & Medicaid Services on 2007-08-06.
As of what date was the information pertaining to Provail Dental Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Provail Dental Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-21.
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