Healthcare Provider Details

I. General information

NPI: 1609714781
Provider Name (Legal Business Name): WEST SEATTLE ENDODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5016 CALIFORNIA AVE SW STE 101
SEATTLE WA
98136-1295
US

IV. Provider business mailing address

5016 CALIFORNIA AVE SW STE 101
SEATTLE WA
98136-1295
US

V. Phone/Fax

Practice location:
  • Phone: 206-937-1010
  • Fax:
Mailing address:
  • Phone: 206-937-1010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. RACHELLE COHEN
Title or Position: OWNER
Credential: DMD MSD
Phone: 206-240-2042