Provider Demographics
NPI:1376582007
Name:ADAMIAN, SEVAK (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:SEVAK
Middle Name:
Last Name:ADAMIAN
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16646 LEMOLO SHORE DR NE
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-8723
Mailing Address - Country:US
Mailing Address - Phone:360-598-3094
Mailing Address - Fax:
Practice Address - Street 1:1275 NE FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98311-3005
Practice Address - Country:US
Practice Address - Phone:360-377-3779
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00078711223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics