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NPI Code Detail

MEDICARE: DR. REBECCA LYNN SLAYTON DDS, PHD

MEDICARE: DR. REBECCA LYNN SLAYTON DDS, PHD
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
11223P0221XPediatric DentistryDE00009883WA
21223P0221XPediatric Dentistry07587IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376648493
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA LYNN SLAYTON DDS, PHD
Provider Business Mailing Address
First Line : 80 E ROANOKE ST
Second Line : UNIT 7
City : SEATTLE
State : WA
Zip : 98102-3243
Country : US
Telephone Number : 319-855-3441
Fax Number :
Provider Business Practice Location Address
First Line : 6222 NE 74TH ST # 354915
Second Line : THE CENTER FOR PEDIATRIC DENTISTRY
City : SEATTLE
State : WA
Zip : 98115-8158
Country : US
Telephone Number : 206-543-6141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 03/19/2013

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