Provider Demographics
NPI:1679959746
Name:LECUYER AMATO PLLC
Entity Type:Organization
Organization Name:LECUYER AMATO PLLC
Other - Org Name:AMATO DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:R
Authorized Official - Last Name:AMATO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-626-5400
Mailing Address - Street 1:1101 MADISON STREET
Mailing Address - Street 2:SUITE 1230
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104
Mailing Address - Country:US
Mailing Address - Phone:206-626-5400
Mailing Address - Fax:206-447-0707
Practice Address - Street 1:1101 MADISON ST STE 1230
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1320
Practice Address - Country:US
Practice Address - Phone:206-626-5400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00005592122300000X
WADE00009660122300000X
WADE60409344122300000X
1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No122300000XDental ProvidersDentistGroup - Single Specialty