MEDICARE: WILLIAM H. RALEIGH, DDS

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	:	1427502285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM H. RALEIGH, DDS

Provider Business Mailing Address
First Line	:	4401 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4108
Country	:	US
Telephone Number	:	206-935-5210
Fax Number	:	206-932-5958

Provider Business Practice Location Address
First Line	:	4401 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4108
Country	:	US
Telephone Number	:	206-935-5210
Fax Number	:	206-932-5958

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DONNA AUSTIN
Credential	:
Telephone Number	:	206-935-5210

Provider Enumeration Date	:	08/10/2016
Last Update Date	:	08/10/2016

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