MEDICARE: DR. BILL J MULLIKEN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5460	WA
2	332B00000X	Durable Medical Equipment & Medical Supplies		WA

General Provider Information

NPI Number	:	1053330308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BILL J MULLIKEN D.D.S.

Provider Business Mailing Address
First Line	:	16030 BOTHELL EVERETT HWY
Second Line	:	SUITE 280
City	:	MILL CREEK
State	:	WA
Zip	:	98012-1741
Country	:	US
Telephone Number	:	425-481-4974
Fax Number	:	425-388-4930

Provider Business Practice Location Address
First Line	:	16030 BOTHELL EVERETT HWY
Second Line	:	SUITE 280
City	:	MILL CREEK
State	:	WA
Zip	:	98012-1741
Country	:	US
Telephone Number	:	425-481-4974
Fax Number	:	425-388-4930

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	01/01/2025

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