Provider Demographics
NPI:1205289857
Name:DAVID APATOFF, DDS
Entity type:Organization
Organization Name:DAVID APATOFF, DDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:APATOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:425-712-7200
Mailing Address - Street 1:651 EDMONDS WAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-4689
Mailing Address - Country:US
Mailing Address - Phone:425-712-7200
Mailing Address - Fax:
Practice Address - Street 1:651 EDMONDS WAY
Practice Address - Street 2:SUITE C
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-4689
Practice Address - Country:US
Practice Address - Phone:425-712-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602363471223G0001X
WA67631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty