Sahli, Im, Gu PLLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

SAHLI, IM, GU PLLC

Practice address

7100 Fun Center Way Ste 110
Tukwila, WA 98188-5540

Phone

(425) 291-9555

Fax

(425) 291-9556

NPI assigned

Aug 12, 2020

Last updated

Aug 12, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Moutaz Sahli, DDSNPI 1811146368

Title

Owner

Phone

(425) 291-9555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Moutaz Sahli, DDS

  • Dentist
  • Tukwila, WA
  • NPI 1811146368
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1790396893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 FUN CENTER WAY STE 110",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981885540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 FUN CENTER WAY STE 110",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981885540",
            "telephone_number": "425-291-9555",
            "fax_number": "425-291-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHLI, IM, GU PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "SAHLI",
        "authorized_official_first_name": "MOUTAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-291-9555",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William G Russell
• S. H. Nguyen, Inc (West Valley Dental)
• Angela Sadlon, N.D.
• Safari Transportation Services
• Safe Counseling Professional Service Corporation
• Moutaz Sahli, DDS
• Daga Abdulle Said, PHARM.D
• Linda Sain, P.A.-C
• Ridhwan Salat
• Pani Salavea

• Oral and Maxillofacial Surgery Clinic/Center in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.