BRADLEY S. MOTT DDS PLLC NPI 1396173704

NPI Information

NPI: 1396173704
Provider Name: BRADLEY S. MOTT, DDS, PLLC

Doing Business As: KENMORE SMILES FAMILY DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6507 NE 181ST ST
KENMORE, WA
ZIP 98028
Phone: (425) 486-9211
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BRADLEY S. MOTT, DDS, PLLC is a dental clinic center in Kenmore, WA. BRADLEY S. MOTT, DDS, PLLC NPI is 1396173704. The provider is registered as an organization entity type.
The provider Is Doing Business As Kenmore Smiles Family Dentistry.

The provider's business location address is:

6507 NE 181ST ST
KENMORE, WA
ZIP 98028-801
Phone: (425) 486-9211
Fax: (425) 402-1093

The provider's authorized official is Bradley S Mott .
The authorized official title is Member, Manager and has the following contact phone number (763) 227-5222.

The enumeration date for this NPI number is 10/22/2013 and was last updated on 1/1/2014.

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
1	261QD0000X	Clinic/Center	Dental	DE60091370	WASHINGTON	Yes

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: 5/5/2024

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