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NPI Code Detail

MEDICARE: SAUVAGE DDS PS

MEDICARE: SAUVAGE DDS PS
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1326715129
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAUVAGE DDS PS
Provider Business Mailing Address
First Line : 1210 22ND AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-3535
Country : US
Telephone Number : 206-498-1777
Fax Number :
Provider Business Practice Location Address
First Line : 2045 WESTLAKE AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98121-2605
Country : US
Telephone Number : 206-362-9110
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : STEPHANIE SAUVAGE
Credential :
Telephone Number : 206-383-8167
Provider Enumeration Date : 08/27/2021
Last Update Date : 06/29/2024

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Directions to “SAUVAGE DDS PS ” Practice Location

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