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L DOUGLAS GRAY DDS AND KENNETH K LO DDS PS NPI 1326268640


NPI Information

NPI: 1326268640
Provider Name: L DOUGLAS GRAY DDS AND KENNETH K LO DDS PS

Doing Business As: ROOSEVELT DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6417 ROOSEVELT WAY NE
#206
SEATTLE, WA
ZIP 98115
Phone: (206) 524-6100
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L DOUGLAS GRAY DDS AND KENNETH K LO DDS PS 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. L DOUGLAS GRAY DDS AND KENNETH K LO DDS PS NPI is 1326268640. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Roosevelt Dental Center.

The provider's business location address is:

6417 ROOSEVELT WAY NE
#206
SEATTLE, WA
ZIP 98115
Phone: (206) 524-6100
Fax: (206) 522-4608

The provider's authorized official is Lloyd Douglas Gray .
The authorized official title is Owner and has the following contact phone number (206) 524-6100.

The enumeration date for this NPI number is 4/27/2007 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 PracticeWASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1114742OTHERWASHINGTONL AND I

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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