Provider Demographics
NPI:1811649155
Name:MORROW, ANNA (DDS)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MORROW
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:ANDREEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2421 NW MARKET ST UNIT 736
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4134
Mailing Address - Country:US
Mailing Address - Phone:202-374-1478
Mailing Address - Fax:
Practice Address - Street 1:4727 EVERGREEN WAY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2878
Practice Address - Country:US
Practice Address - Phone:360-568-1519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-18
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE61195354122300000X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist