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CLOVERDALE FAMILY DENTISTRY NPI 1831534155


NPI Information

NPI: 1831534155
Provider Name: CLOVERDALE FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1415 S CLOVERDALE ST
SEATTLE, WA
ZIP 98108
Phone: (206) 762-2337
Get Directions

CLOVERDALE 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. CLOVERDALE FAMILY DENTISTRY NPI is 1831534155. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1415 S CLOVERDALE ST
SEATTLE, WA
ZIP 98108-826
Phone: (206) 762-2337
Fax: (206) 762-0344

The provider's authorized official is Tina Fujii .
The authorized official title is Owner and has the following contact phone number (206) 762-2337.

The enumeration date for this NPI number is 4/30/2013 and was last updated on 4/30/2013.


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 PracticeDE00008520WASHINGTONYes

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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