Anthony a Santorsola, DDS

Organization Active NPI General Practice Dentistry · Kenmore, WA

NPI 1508169798 · NPPES record last updated Dec 10, 2010

Key facts

NPI
1508169798
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
602301797 (WA)
Legal business name
ANTHONY A SANTORSOLA, DDS
Practice address
5723 NE Bothell Way
Suite a
Kenmore, WA 98028-9404
Phone
(206) 525-2813
Fax
(425) 483-1414
NPI assigned
Dec 10, 2010
Organization subpart
No

Authorized official

Name
Kathleen Jackson
Title
Office Manager
Phone
(206) 525-2813

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 602301797 WA Yes

Addresses

Primary practice location

5723 NE Bothell Way
Suite a
Kenmore, WA 98028-9404

Mailing address

5723 NE Bothell Way
Suite a
Kenmore, WA 98028-9404
Phone (206) 525-2813

Other providers in Kenmore, WA

All providers in Kenmore, WA · General Practice Dentistry in Washington

Sources for this page

Verify at the official NPI Registry.