SAMUEL BOBEK PLLC NPI 1841833431

NPI Information

  • NPI: 1841833431
  • Provider Name: SAMUEL BOBEK PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: SEATTLE JAW SURGERY
  • CLIA Number: 50D2301633
  • Address: 600 BROADWAY STE 460
    SEATTLE, WA
    ZIP 98122
  • Phone: (206) 320-2078

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NPI Details

SAMUEL BOBEK PLLC is a dental clinic center in Seattle, WA. SAMUEL BOBEK PLLC NPI is 1841833431. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Seattle Jaw Surgery.

The provider's business location address is:

600 BROADWAY STE 460
SEATTLE, WA
ZIP 98122-312
Phone: (206) 320-2078

The provider's authorized official is Samuel Bobek .
The authorized official title is Owner and has the following contact phone number (503) 475-4735.

The CLIA number assigned to this NPI record is 50D2301633 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2019 and was last updated on 10/28/2019.

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
1363AS0400XPhysician AssistantSurgicalNo
21223S0112XDentistOral and Maxillofacial SurgeryNo
3261QD0000XClinic/CenterDentalYes

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: 3/30/2025

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