Healthcare Provider Details

I. General information

NPI: 1972370187
Provider Name (Legal Business Name): ANASTASIA SEIBEL DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2023
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8012 112TH STREET CT E STE 320
PUYALLUP WA
98373-7856
US

IV. Provider business mailing address

10376 NE 12TH ST APT J302
BELLEVUE WA
98004-4265
US

V. Phone/Fax

Practice location:
  • Phone: 253-848-2331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number70146890
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: