Provider Demographics
NPI:1568062701
Name:KARLA AYLEN, DDS, PS
Entity Type:Organization
Organization Name:KARLA AYLEN, DDS, PS
Other - Org Name:NORTHGATE SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RECEPTIONIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HACHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-344-9848
Mailing Address - Street 1:11066 5TH AVE NE STE 208
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6156
Mailing Address - Country:US
Mailing Address - Phone:206-362-1516
Mailing Address - Fax:
Practice Address - Street 1:11066 5TH AVE NE STE 208
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6156
Practice Address - Country:US
Practice Address - Phone:206-362-1516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty
No1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1174679278OtherGENERAL DENTISTRY
WA1427100171OtherDR. CRADDOCK
WA1174679278OtherDR. AYLEN
WA1962617910OtherDR. PHIUR
WA17000151172OtherDR. ANSONG
WA1962617910OtherDR. ALUAS
WA1760461214OtherDR. EMAM