Healthcare Provider Details

I. General information

NPI: 1811649155
Provider Name (Legal Business Name): ANNA KAIROUZ DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA MORROW

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 04/05/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13106 120TH AVE NE
KIRKLAND WA
98034-3014
US

IV. Provider business mailing address

13106 120TH AVE NE
KIRKLAND WA
98034-3014
US

V. Phone/Fax

Practice location:
  • Phone: 425-335-5700
  • Fax:
Mailing address:
  • Phone: 202-374-1478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDE61195354
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDE61195354
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: