Healthcare Provider Details

I. General information

NPI: 1790099091
Provider Name (Legal Business Name): DAVID RYAN DEAN D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2010
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

1959 NE PACIFIC ST BOX 357191
SEATTLE WA
98195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 206-685-2937
  • Fax: 206-616-8577
Mailing address:
  • Phone: 206-685-2937
  • Fax: 206-616-8577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDE60171596
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: