Provider Demographics
NPI:1407233166
Name:ACCUSMILE DENTURE AND DENTAL INC
Entity Type:Organization
Organization Name:ACCUSMILE DENTURE AND DENTAL INC
Other - Org Name:ACCUSMILE DENTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MELNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-783-1828
Mailing Address - Street 1:7352 15TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-5401
Mailing Address - Country:US
Mailing Address - Phone:206-783-1828
Mailing Address - Fax:206-783-1822
Practice Address - Street 1:7352 15TH AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-5401
Practice Address - Country:US
Practice Address - Phone:206-783-1828
Practice Address - Fax:206-783-1822
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCUSMILE DENTURE AND DENTAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
292200000X
WA000000464302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes292200000XLaboratoriesDental Laboratory
No302R00000XManaged Care OrganizationsHealth Maintenance Organization