Healthcare Provider Details
I. General information
NPI: 1093896276
Provider Name (Legal Business Name): FRANKIE SULAIMAN, DDS, MS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/17/2006
Last Update Date: 05/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11011 MERIDIAN AVE N STE 302
SEATTLE WA
98133-8967
US
IV. Provider business mailing address
11011 MERIDIAN AVENUE NORTH SUITE 302
SEATTLE WA
98133
US
V. Phone/Fax
- Phone: 206-522-5300
- Fax: 206-522-5301
- Phone: 206-522-5300
- Fax: 206-522-5301
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | DE8310 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0700X |
| Taxonomy | Prosthodontics |
| License Number | DE8310 |
| License Number State | WA |
VIII. Authorized Official
Name: DR.
FRANKIE
SULAIMAN
Title or Position: MEMBER PLLC
Credential: DDS, MS
Phone: 206-522-5300