KELLEY M. WASHINGTON DDSPS NPI 1174826937

NPI Information

  • NPI: 1174826937
  • Provider Name: KELLEY M. WASHINGTON DDS,PS
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: WASHINGTON DENTAL CLINIC
  • Address: 4543 RAINIER AVE S
    SEATTLE, WA
    ZIP 98118
  • Phone: (206) 722-8211

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NPI Details

KELLEY M. WASHINGTON DDS,PS is a dental clinic center in Seattle, WA. KELLEY M. WASHINGTON DDS,PS NPI is 1174826937. The provider is registered as an organization entity type.
The provider Is Doing Business As Washington Dental Clinic.

The provider's business location address is:

4543 RAINIER AVE S
SEATTLE, WA
ZIP 98118-656
Phone: (206) 722-8211
Fax: (206) 722-3249

The provider's authorized official is Kelley Michael Washington .
The authorized official title is President/dentist and has the following contact phone number (206) 722-8211.

The enumeration date for this NPI number is 12/15/2010 and was last updated on 12/15/2010.

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
1261QD0000XClinic/CenterDental9721WASHINGTONYes

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: 11/21/2025

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