HOUSE LEE MAST MCDONALD AND NELSON PC NPI 1023461597

NPI Information

NPI: 1023461597
Provider Name: HOUSE, LEE, MAST, MCDONALD AND NELSON, PC

Doing Business As: SORENSEN ORTHODONTICS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4116 CALIFORNIA AVE SW APT 102
SEATTLE, WA
ZIP 98116
Phone: (206) 937-6089
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HOUSE, LEE, MAST, MCDONALD AND NELSON, PC is a dental clinic center in Seattle, WA. HOUSE, LEE, MAST, MCDONALD AND NELSON, PC NPI is 1023461597. The provider is registered as an organization entity type.
The provider Is Doing Business As Sorensen Orthodontics.

The provider's business location address is:

4116 CALIFORNIA AVE SW APT 102
SEATTLE, WA
ZIP 98116-151
Phone: (206) 937-6089
Fax: (206) 937-6371

The provider's authorized official is Lanette Mcintosh .
The authorized official title is Regional Operations Manager and has the following contact phone number (425) 396-1011.

The enumeration date for this NPI number is 7/19/2016 and was last updated on 12/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DE00010515	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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