AHDUT BEAN PLLC NPI 1881189322

NPI Information

NPI: 1881189322
Provider Name: AHDUT BEAN PLLC

Doing Business As: GREEN LEAF KIDS

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

Specialization: Dental

Address:
4219 S OTHELLO ST STE 105D
SEATTLE, WA
ZIP 98118
Phone: (206) 316-2351
Get Directions

AHDUT BEAN PLLC is a dental clinic center in Seattle, WA. AHDUT BEAN PLLC NPI is 1881189322. The provider is registered as an organization entity type.
The provider Is Doing Business As Green Leaf Kids.

The provider's business location address is:

4219 S OTHELLO ST STE 105D
SEATTLE, WA
ZIP 98118-873
Phone: (206) 316-2351

The provider's authorized official is Yonatan Nir Ahdut .
The authorized official title is Dentist/owner and has the following contact phone number (253) 426-5821.

The enumeration date for this NPI number is 6/27/2018 and was last updated on 6/11/2019.

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	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DE60479557	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2036949	MEDICAID	WASHINGTON

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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