Active NPI
Dentologie, PC
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1104742642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTOLOGIE, PC
- Practice address
- 1836 NW Market St
Seattle, WA 98107-3908 - Phone
- (206) 586-8442
- NPI assigned
- Jun 29, 2026
- Organization subpart
- Yes
- Parent organization
- DENTOLOGIE, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth Neil Sullivan
- Title
- Director, RCM
- Phone
- (615) 707-0786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1836 NW Market St
Seattle, WA 98107-3908
Mailing address
1259 S Wabash Ave
Chicago, IL 60605-2412
Phone (312) 846-6752
National Provider Directory
National Provider Directory- Tax ID family
- Dentologie PC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Seattle, WA
- NPI 1114843653
-
- General Practice Dentistry
- Seattle, WA
- NPI 1760308209
-
- General Practice Dentistry
- Seattle, WA
- NPI 1831015379
-
- General Practice Dentistry
- Chicago, IL
- NPI 1821338757
Locations
1259 S Wabash Ave
Chicago, IL 60605
Phone (248) 563-5085
1836 NW Market St
Seattle, WA 98107
Phone (206) 260-1217
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Seattle, WA
- NPI 1356921779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782691200000",
"number": "1104742642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1259 S WABASH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052412",
"telephone_number": "312-846-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 NW MARKET ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981073908",
"telephone_number": "206-586-8442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTOLOGIE, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DENTOLOGIE, PC",
"enumeration_date": "2026-06-29",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "NEIL",
"authorized_official_title_or_position": "DIRECTOR, RCM",
"authorized_official_telephone_number": "615-707-0786",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.