Cottrill, Dwight Edward
Cottrill, Dwight Edward is an individual health care provider with primary practice located at 16504 9Th Ave Se Suite 103, Mill Creek WA 98012-6396. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cottrill, Dwight Edward can be contacted via phone (425) 742-3606.Contact Information
Primary practice address
16504 9Th Ave Se Suite 103
Mill Creek WA 98012-6396
Phone: (425) 742-3606
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00006088 | Washington |
Profile Details
| NPI number | 1164453650 |
|---|---|
| LBN Legal business name | Cottrill, Dwight Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164453650 | NPPES |
| Washington | Other | CO6355 | REGENCE |
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