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Contact Information

SEA MAR SPECIALTY DENTAL GROUP
2000 116TH AVE NE
BELLEVUE, WA98004-3047
 Phone: 425-998-5090
 Fax: 425-998-5099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Dental

261QD0000X
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Optometrist

152W00000X 41 Optometry
 

Oral and Maxillofacial Surgery

261QS0112X
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SEA MAR SPECIALTY DENTAL GROUP

NPI Number 1568981470
LBN Legal business name SEA MAR SPECIALTY DENTAL GROUP
Authorized official KRISTINA HOESCHEN - (ADMINISTRATION DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/12/2017
Last updated 03/17/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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