Healthcare Provider Details

I. General information

NPI: 1780521971
Provider Name (Legal Business Name): WILLIAM STANTON TARADAY I DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2466 WESTLAKE AVE N UNIT 1
SEATTLE WA
98109-2280
US

IV. Provider business mailing address

2466 WESTLAKE AVE N UNIT 1
SEATTLE WA
98109-2280
US

V. Phone/Fax

Practice location:
  • Phone: 206-295-5378
  • Fax:
Mailing address:
  • Phone: 206-295-5378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number00003304
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: