MEDICARE: HIGHLAND DENTAL CENTER SHORELINE

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1831847953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLAND DENTAL CENTER SHORELINE

Provider Business Mailing Address
First Line	:	5900 NE ARROWHEAD DR
Second Line	:
City	:	KENMORE
State	:	WA
Zip	:	98028-5806
Country	:	US
Telephone Number	:	206-265-0062
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 N 182ND ST STE 401
Second Line	:
City	:	SHORELINE
State	:	WA
Zip	:	98133-4402
Country	:	US
Telephone Number	:	206-542-3044
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. PRINCY S REKHI
Credential	:	DDS
Telephone Number	:	206-542-3044

Provider Enumeration Date	:	03/17/2022
Last Update Date	:	03/25/2026

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