| Smile Ballard | |
|
1801 Nw Market St Ste 312 Seattle WA 98107-3987 | |
| (206) 784-6310 | |
| Not Available |
| Full Name | Smile Ballard |
|---|---|
| Speciality | Dentist |
| Location | 1801 Nw Market St, Seattle, Washington |
| Authorized Official Name and Position | Dominick Curalli (MEMBER) |
| Authorized Official Contact | 2067846310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Ballard 5350 Tallman Ave Nw Ste 410 Seattle WA 98107-5909 Ph: (206) 784-6310 | Smile Ballard 1801 Nw Market St Ste 312 Seattle WA 98107-3987 Ph: (206) 784-6310 |
| NPI Number | 1780110064 |
|---|---|
| Provider Enumeration Date | 05/05/2017 |
| Last Update Date | 12/15/2023 |
| Medicare PECOS PAC ID | 2668819319 |
|---|---|
| Medicare Enrollment ID | O20240318002278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780110064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00010301 (Washington) | Primary |
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