Provider Demographics
NPI:1578519724
Name:ALIU, ADEBAYO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ADEBAYO
Middle Name:
Last Name:ALIU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 16TH ST NE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-1622
Mailing Address - Country:US
Mailing Address - Phone:253-351-6000
Mailing Address - Fax:253-351-0066
Practice Address - Street 1:502 16TH ST NE
Practice Address - Street 2:SUITE 300
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-1622
Practice Address - Country:US
Practice Address - Phone:253-351-6000
Practice Address - Fax:253-351-0066
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000079921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice