Healthcare Provider Details

I. General information

NPI: 1831688910
Provider Name (Legal Business Name): ALEX MITCHEL HURLIMAN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2018
Last Update Date: 01/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 OLIVE WAY STE 1149
SEATTLE WA
98101
US

IV. Provider business mailing address

7920 WALLINGFORD AVE N APT 206
SEATTLE WA
98103-4956
US

V. Phone/Fax

Practice location:
  • Phone: 206-682-3888
  • Fax:
Mailing address:
  • Phone: 509-570-3792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number60861689
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: