| Seattle Children's Hospital | |
|
4800 Sand Point Way Ne Seattle WA 98105-3901 | |
| (206) 987-5778 | |
| (206) 987-5779 |
| Full Name | Seattle Children's Hospital |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4800 Sand Point Way Ne, Seattle, Washington |
| Authorized Official Name and Position | Kelly Wallace (V.P. AND CFO) |
| Authorized Official Contact | 2069872004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seattle Children's Hospital Po Box 50020 S-100 Seattle WA 98145-5020 Ph: (206) 987-5778 | Seattle Children's Hospital 4800 Sand Point Way Ne Seattle WA 98105-3901 Ph: (206) 987-5778 |
| NPI Number | 1265505432 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265505432 | NPI | - | NPPES |
| 5030242 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | H-014 (Washington) | Primary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | H-014 (Washington) | Secondary |
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Uw Dentists - Perio Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-616-8794 | |
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