Healthcare Provider Details

I. General information

NPI: 1750170015
Provider Name (Legal Business Name): ERIK P. BALINGHASAY, DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2025
Last Update Date: 05/03/2025
Certification Date: 05/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 OLIVE WAY STE 860
SEATTLE WA
98101-1889
US

IV. Provider business mailing address

720 OLIVE WAY STE 860
SEATTLE WA
98101-1889
US

V. Phone/Fax

Practice location:
  • Phone: 206-521-3636
  • Fax:
Mailing address:
  • Phone: 206-521-3636
  • 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. ERIK BALINGHASAY
Title or Position: PRESIDENT
Credential: DDS, MSD
Phone: 626-384-6263