NPI 1073061693

Philip R. Howard DDS and Tara M. Sullivan DDS, PLLC

Organisation Preferred Provider Organization Seattle, WA

Practice location

Address: 4520 42nd Ave SW STE 23, Seattle, WA 98116-4240
Phone: (206) 938-1777
Fax: (206) 938-0740

Authorised official

Name: Philip Howard
Title: Owner
Phone: (206) 938-1777

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence DE00010978 (WA)

Other Preferred Provider Organization providers in Washington →

Registry record

NPI: 1073061693
Entity type: Organization
NPI issued: 12 Sep 2016
Record last updated: 12 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.