Healthcare Provider Details

I. General information

NPI: 1356282743
Provider Name (Legal Business Name): PAUL E. KULITS, DMD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7404 EVERGREEN WAY STE B
EVERETT WA
98203-5683
US

IV. Provider business mailing address

15216 55TH AVE SE
EVERETT WA
98208-8956
US

V. Phone/Fax

Practice location:
  • Phone: 425-355-8730
  • Fax:
Mailing address:
  • Phone: 425-355-8730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL EDWARD KULITS
Title or Position: MANAGING MEMBER
Credential: DMD
Phone: 425-355-8730