SAMUEL BOBEK PLLC NPI 1841833431

NPI Information

NPI: 1841833431
Provider Name: SAMUEL BOBEK PLLC

Doing Business As: SEATTLE JAW SURGERY

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

Specialization: Dental

Address:
600 BROADWAY STE 460
SEATTLE, WA
ZIP 98122
Phone: (206) 320-2078
Get Directions

SAMUEL BOBEK PLLC is a dental clinic center in Seattle, WA. SAMUEL BOBEK PLLC NPI is 1841833431. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Seattle Jaw Surgery.

The provider's business location address is:

600 BROADWAY STE 460
SEATTLE, WA
ZIP 98122-312
Phone: (206) 320-2078

The provider's authorized official is Samuel Bobek .
The authorized official title is Owner and has the following contact phone number (503) 475-4735.

The CLIA number assigned to this NPI record is 50D2301633 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2019 and was last updated on 10/28/2019.

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	Primary
1	363AS0400X	Physician Assistant	Surgical	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	No
3	261QD0000X	Clinic/Center	Dental	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

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