Provider Demographics
NPI:1922252451
Name:GEOFFREY SEUK, DDS, PS
Entity Type:Organization
Organization Name:GEOFFREY SEUK, DDS, PS
Other - Org Name:LAKE UNION FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEUK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-282-3339
Mailing Address - Street 1:1530 WESTLAKE AVE. N.
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-3096
Mailing Address - Country:US
Mailing Address - Phone:206-282-3339
Mailing Address - Fax:206-286-1492
Practice Address - Street 1:1530 WESTLAKE AVE. N.
Practice Address - Street 2:SUITE 500
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-3096
Practice Address - Country:US
Practice Address - Phone:206-282-3339
Practice Address - Fax:206-286-1492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000099741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty