Healthcare Provider Details

I. General information

NPI: 1578025946
Provider Name (Legal Business Name): SAMUEL FINKLEMAN DDS, MSD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 07/23/2023
Certification Date: 07/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4915 25TH AVE NE STE 203
SEATTLE WA
98105-5668
US

IV. Provider business mailing address

4915 25TH AVE NE STE 203
SEATTLE WA
98105-5668
US

V. Phone/Fax

Practice location:
  • Phone: 206-525-1999
  • Fax:
Mailing address:
  • Phone: 206-525-1999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDE60941973
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: