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ADVANCED DERMATOLOGY AND LASER INSTITUTE OF SEATTLE PLLC NPI 1306270905


NPI Information

NPI: 1306270905
Provider Name: ADVANCED DERMATOLOGY AND LASER INSTITUTE OF SEATTLE PLLC
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 50D2062890

Address:
4915 25TH AVE NE
SEATTLE, WA
ZIP 98105
Phone: (206) 962-0480
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ADVANCED DERMATOLOGY AND LASER INSTITUTE OF SEATTLE PLLC is a procedural dermatology dermatology in Seattle, WA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). ADVANCED DERMATOLOGY AND LASER INSTITUTE OF SEATTLE PLLC NPI is 1306270905. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4915 25TH AVE NE
SEATTLE, WA
ZIP 98105-667
Phone: (206) 962-0480

The provider's authorized official is Steven Greene .
The authorized official title is Owner and has the following contact phone number (206) 402-4797.

The CLIA number assigned to this NPI record is 50D2062890 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/30/2013 and was last updated on 10/29/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural DermatologyYes

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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