Provider Demographics
NPI:1003197450
Name:PIHUR, TATYANA (DMD)
Entity Type:Individual
Prefix:DR
First Name:TATYANA
Middle Name:
Last Name:PIHUR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 W MERCER ST APT 504
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-4327
Mailing Address - Country:US
Mailing Address - Phone:415-609-0343
Mailing Address - Fax:
Practice Address - Street 1:2326 5TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1863
Practice Address - Country:US
Practice Address - Phone:206-494-9050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE61015604122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist