BOTHELL DENTURE CLINIC INC. NPI 1245320316

NPI Information

  • NPI: 1245320316
  • Provider Name: BOTHELL DENTURE CLINIC, INC.
  • Classification: Denturist - 122400000X
  • Entity Type: Organization
  • Address: 10137 MAIN ST
    SUITE 7
    BOTHELL, WA
    ZIP 98011
  • Phone: (425) 483-4643

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NPI Details

BOTHELL DENTURE CLINIC, INC. is a denturist in Bothell, WA. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. BOTHELL DENTURE CLINIC, INC. NPI is 1245320316. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10137 MAIN ST
SUITE 7
BOTHELL, WA
ZIP 98011-422
Phone: (425) 483-4643
Fax: (425) 483-1493

The provider's authorized official is Satomi Hirai .
The authorized official title is Licensed Denturist and has the following contact phone number (425) 483-4643.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/22/2020.

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
1122400000XDenturistDN000258WASHINGTONYes

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
15036835MEDICAIDWASHINGTON

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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