MEDICARE: LECUYER AMATO 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	122300000X	Dentist	DE00009660	WA
2	122300000X	Dentist	DE00005592	WA
3	122300000X	Dentist	DE60409344	WA
4	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1679959746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LECUYER AMATO PLLC

Provider Business Mailing Address
First Line	:	1101 MADISON STREET
Second Line	:	SUITE 1230
City	:	SEATTLE
State	:	WA
Zip	:	98104
Country	:	US
Telephone Number	:	206-626-5400
Fax Number	:	206-447-0707

Provider Business Practice Location Address
First Line	:	1101 MADISON ST STE 1230
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-1320
Country	:	US
Telephone Number	:	206-626-5400
Fax Number	:

Authorized Official
Title or Position	:	OWNER DENTIST
Name	:	PAUL R AMATO
Credential	:	DDS
Telephone Number	:	206-626-5400

Provider Enumeration Date	:	07/30/2015
Last Update Date	:	12/30/2021

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