Healthcare Provider Details

I. General information

NPI: 1053240093
Provider Name (Legal Business Name): LINDA FUKUDA FAMILY DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8119 GREENWOOD AVE N
SEATTLE WA
98103-4230
US

IV. Provider business mailing address

8119 GREENWOOD AVE N
SEATTLE WA
98103-4230
US

V. Phone/Fax

Practice location:
  • Phone: 206-784-4800
  • Fax: 206-784-2458
Mailing address:
  • Phone: 206-784-4800
  • Fax: 206-784-2458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDA ELIKO FUKUDA
Title or Position: DOCTOR
Credential: DDS
Phone: 206-784-4800