ROBERT M. GOTTLIEB DDS PS NPI 1558783670

NPI Information

NPI: 1558783670
Provider Name: ROBERT M. GOTTLIEB, DDS, PS

Doing Business As: IMPLANT & PERIODONTAL ASSOCIATES

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5723 NE BOTHELL WAY STE C
KENMORE, WA
ZIP 98028
Phone: (425) 486-9111
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ROBERT M. GOTTLIEB, DDS, PS is a dental clinic center in Kenmore, WA. ROBERT M. GOTTLIEB, DDS, PS NPI is 1558783670. The provider is registered as an organization entity type.
The provider Is Doing Business As Implant & Periodontal Associates.

The provider's business location address is:

5723 NE BOTHELL WAY STE C
KENMORE, WA
ZIP 98028-404
Phone: (425) 486-9111

The provider's authorized official is Robert M Gottlieb .
The authorized official title is Owner and has the following contact phone number (425) 486-9111.

The enumeration date for this NPI number is 1/8/2014 and was last updated on 1/8/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental		WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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