is a Dental Clinic in Seattle, Washington. It is located at 9650 15th Ave Sw, Seattle, WA and its contact number is 206-965-1005. The authorized person for is Mary Bartolo
who is Deputy Director of the clinic and their contact number is 206-788-3224. The primary license number for is 6005372781 (Federally Qualified Health Center (FQHC)) in Washington. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Dentistry
Clinic Address:
9650 15th Ave Sw, Seattle, Washington, 98106-2576
Phone:
206-965-1005
Fax:
206-965-1042
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mary Bartolo
Position:
Deputy Director
Contact Number:
206-788-3224
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1023154077
NPI Enumeration Date:
29 Jan, 2007
NPI Last Update On:
31 Jan, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
6005372781
Washington
Primary
Dentist
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2004843
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 34703, Seattle, Washington
Zip:
98124-1703
Phone Number:
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Fax Number:
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Patients can reach at 9650 15th Ave Sw, Seattle, Washington or can call to book an appointment on 206-965-1005. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.