MEDICARE: PAUL E. KULITS, DMD, PLLC

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1356282743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUL E. KULITS, DMD, PLLC

Provider Business Mailing Address
First Line	:	15216 55TH AVE SE
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98208-8956
Country	:	US
Telephone Number	:	425-355-8730
Fax Number	:

Provider Business Practice Location Address
First Line	:	7404 EVERGREEN WAY STE B
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98203-5683
Country	:	US
Telephone Number	:	425-355-8730
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. PAUL EDWARD KULITS
Credential	:	DMD
Telephone Number	:	425-355-8730

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/02/2026

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