MEDICARE: SHOKOFEH TABARAIE DDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1184580789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHOKOFEH TABARAIE DDS PLLC

Provider Business Mailing Address
First Line	:	8022 35TH AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-4815
Country	:	US
Telephone Number	:	206-524-0255
Fax Number	:	206-524-0240

Provider Business Practice Location Address
First Line	:	8022 35TH AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-4815
Country	:	US
Telephone Number	:	206-524-0255
Fax Number	:	206-524-0240

Authorized Official
Title or Position	:	OWNER/ DENTIST
Name	:	DR. SHOKOFEH TABARAIE
Credential	:	DDS
Telephone Number	:	206-898-2239

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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