Bovenkamp, Micah

Bovenkamp, Micah is an individual health care provider with primary practice located at 6222 Ne 74Th St , Seattle WA 98115-8158. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Bovenkamp, Micah can be contacted via phone (206) 543-5800.

Contact Information

Primary practice address
6222 Ne 74Th St Seattle WA 98115-8158
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DR61043609 Washington

Profile Details

NPI number 1134757487
LBN Legal business name Bovenkamp, Micah
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2020
Last updated Mar 31st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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