Provider Demographics
NPI:1083709216
Name:LARRY ADATTO DDS INC
Entity Type:Organization
Organization Name:LARRY ADATTO DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:ADATTO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-526-9040
Mailing Address - Street 1:7347 35TH AVE NE
Mailing Address - Street 2:SUITE C
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115
Mailing Address - Country:US
Mailing Address - Phone:206-526-9040
Mailing Address - Fax:206-729-2096
Practice Address - Street 1:7347 35TH AVE NE
Practice Address - Street 2:SUITE C
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115
Practice Address - Country:US
Practice Address - Phone:206-526-9040
Practice Address - Fax:206-729-2096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA58931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty