Healthcare Provider Details

I. General information

NPI: 1518530997
Provider Name (Legal Business Name): NADA AHMED ALKEBSI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2021
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3006 NORTHUP WAY STE 102
BELLEVUE WA
98004-1445
US

IV. Provider business mailing address

3006 NORTHUP WAY STE 102
BELLEVUE WA
98004-1445
US

V. Phone/Fax

Practice location:
  • Phone: 425-881-8448
  • Fax:
Mailing address:
  • Phone: 425-881-8448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number61199545
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: