Provider Demographics
NPI:1811058068
Name:NADEN, GEORGE FREDERICK (DDS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:FREDERICK
Last Name:NADEN
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 1:4000 SW ADMIRAL WAY
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-2516
Mailing Address - Country:US
Mailing Address - Phone:206-935-2632
Mailing Address - Fax:206-935-4336
Practice Address - Street 1:4000 SW ADMIRAL WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-2516
Practice Address - Country:US
Practice Address - Phone:206-935-2632
Practice Address - Fax:206-935-4336
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA52971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA21369OtherWA. STATE DEPT OF LABOR
WA5674OtherWDS DENTAL INSURANCE PROV
WA5297OtherWA. STATE DENTAL LICENSE
WA5039805OtherWA. DEPT OF HEALTH & SOCI