Provider Demographics
NPI:1073634978
Name:SEAL, THOMAS HOWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:HOWARD
Last Name:SEAL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9750 NE 120TH PL
Mailing Address - Street 2:SUITE #1
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4282
Mailing Address - Country:US
Mailing Address - Phone:425-823-9000
Mailing Address - Fax:425-823-6801
Practice Address - Street 1:9750 NE 120TH PL
Practice Address - Street 2:SUITE #1
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4282
Practice Address - Country:US
Practice Address - Phone:425-823-9000
Practice Address - Fax:425-823-6801
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000050301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice