Healthcare Provider Details

I. General information

NPI: 1619003100
Provider Name (Legal Business Name): SAMI DOGAN DDS, DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE MAILBOX 359893
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

325 9TH AVE MAILBOX 359893
SEATTLE WA
98104-2420
US

V. Phone/Fax

Practice location:
  • Phone: 206-731-3189
  • Fax: 206-731-2810
Mailing address:
  • Phone: 206-731-3189
  • Fax: 206-731-2810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDF30000086
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: