Provider Demographics
NPI:1336894732
Name:ANDREA M. PRICE, DDS, PLLC
Entity Type:Organization
Organization Name:ANDREA M. PRICE, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-546-4161
Mailing Address - Street 1:18550 FIRLANDS WAY N STE 200
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3984
Mailing Address - Country:US
Mailing Address - Phone:206-546-4161
Mailing Address - Fax:
Practice Address - Street 1:18550 FIRLANDS WAY N STE 200
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3984
Practice Address - Country:US
Practice Address - Phone:206-546-4161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty