Provider Demographics
NPI:1508118332
Name:THOMAS H SEAL
Entity Type:Organization
Organization Name:THOMAS H SEAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:SEAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-823-9000
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:98034-4207
Mailing Address - Country:US
Mailing Address - Phone:425-823-9000
Mailing Address - Fax:422-582-3681
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:98034-4207
Practice Address - Country:US
Practice Address - Phone:425-823-9000
Practice Address - Fax:422-582-3681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-03
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA5030122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5518204Medicaid