Provider Demographics
NPI:1891865465
Name:PRICE, DALE K (DDS)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:K
Last Name:PRICE
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 1:18631 SE 277TH PL
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98042-5367
Mailing Address - Country:US
Mailing Address - Phone:253-639-0860
Mailing Address - Fax:
Practice Address - Street 1:1346 8TH ST NE
Practice Address - Street 2:SUITE # 101
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4588
Practice Address - Country:US
Practice Address - Phone:253-833-6774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA57531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice