Provider Demographics
NPI:1881815868
Name:DOYLE, T MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:T
Middle Name:MICHAEL
Last Name:DOYLE
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 1:1325 4TH AVENUE
Mailing Address - Street 2:SUITE 1230
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2516
Mailing Address - Country:US
Mailing Address - Phone:206-624-1773
Mailing Address - Fax:206-624-2268
Practice Address - Street 1:1325 4TH AVENUE
Practice Address - Street 2:SUITE 1230
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2516
Practice Address - Country:US
Practice Address - Phone:206-624-1773
Practice Address - Fax:206-624-2268
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000040701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice