South Seattle Dental

LBN: South Seattle Dental
South Seattle Dental is an health care organization with primary practice located at 12616 Renton Ave S , Seattle WA 98178-3711. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. South Seattle Dental can be contacted via phone (206) 772-6068, or through Lau, Harry via phone (206) 772-6068.

Contact Information

Primary practice address
12616 Renton Ave S Seattle WA 98178-3711
Fax: (206) 772-1231
Website:
Authorized official contact:
Name: Lau, Harry

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X DE00010347 Washington

Profile Details

NPI number 1790018976
LBN Legal business name South Seattle Dental
DBA Doing business as
Authorized official Lau, Harry
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2009
Last updated Sep 6th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790018976 NPPES
Washington MEDICAID 5054291

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