Provider Demographics
NPI:1396514733
Name:KRISTIN SIGURJONSSON DDS PLLC
Entity type:Organization
Organization Name:KRISTIN SIGURJONSSON DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIGURJONSSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-779-0892
Mailing Address - Street 1:711 S ROSE ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-4354
Mailing Address - Country:US
Mailing Address - Phone:206-779-0892
Mailing Address - Fax:
Practice Address - Street 1:15515 3RD AVE SW STE A
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-2553
Practice Address - Country:US
Practice Address - Phone:206-779-0892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental