Healthcare Provider Details

I. General information

NPI: 1821931676
Provider Name (Legal Business Name): S A BABIN DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7631 212TH ST SW STE 109C
EDMONDS WA
98026-7565
US

IV. Provider business mailing address

7631 212TH ST SW STE 109C
EDMONDS WA
98026-7565
US

V. Phone/Fax

Practice location:
  • Phone: 425-775-1766
  • Fax: 425-653-2856
Mailing address:
  • Phone: 425-775-1766
  • Fax: 425-653-2856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT A BABIN
Title or Position: OWNER
Credential: DDS
Phone: 425-775-1766