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FREMONT FAMILY DENTISTRY NPI 1326194218


NPI Information

NPI: 1326194218
Provider Name: FREMONT FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 50D1006765

Address:
4464 FREMONT AVE N
SUITE 103
SEATTLE, WA
ZIP 98103
Phone: (206) 267-7300
Get Directions

FREMONT FAMILY DENTISTRY is a general practice dentist in Seattle, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FREMONT FAMILY DENTISTRY NPI is 1326194218. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4464 FREMONT AVE N
SUITE 103
SEATTLE, WA
ZIP 98103-273
Phone: (206) 267-7300

The provider's authorized official is Mahvash Khajavi-harvey .
The authorized official title is Dentis and has the following contact phone number (206) 267-7300.

The CLIA number assigned to this NPI record is 50D1006765 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/25/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice7667WASHINGTONYes

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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