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PROVAIL DENTAL CLINIC
NPI 1487845327
Clinic/Center - Dental in Seattle, WA

Active since August 06, 2007
10215 LAKE CITY WAY NE STE E, SEATTLE, WA 98125(206) 632-2612 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Provail Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVAIL DENTAL CLINIC (NPI 1487845327) is a healthcare organization registered as a dental in Seattle, Washington and active in the NPI registry since August 2007. The organization lists Michael Hatzenbeler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487845327
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePROVAIL DENTAL CLINIC
Location Address10215 LAKE CITY WAY NE STE ESeattle, WA 98125-7758
Mailing Address3670 Stone Way NSeattle, WA 98103-8004 · (206) 363-7303 · Fax (206) 826-0181
Phone(206) 632-2612
Organization SubpartNo
Authorized OfficialMichael HatzenbelerCeo · (206) 826-1044
Enumeration DateAugust 6, 2007
Last NPPES UpdateJuly 21, 2022
✔ NPI 1487845327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
10215 LAKE CITY WAY NE STE E, Seattle, WA 98125
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Other Identifiers 1

Medicaid5716808WA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provail Dental Clinic's NPI number?

The NPI number for Provail Dental Clinic is 1487845327. It was assigned to this organization in the NPPES registry on August 6, 2007.

Where is Provail Dental Clinic located?

Provail Dental Clinic is located at 10215 Lake City Way NE Ste E, Seattle, WA 98125. The listed phone number is (206) 632-2612.

What is Provail Dental Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Provail Dental Clinic was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.