Tracy L Adams, DDS
Individual provider Active NPI Dentist · Seattle, WA
NPI 1861609133 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861609133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DE00005811 (WA)
- Practice address
- 509 Olive Way
Suite 1242
Seattle, WA 98101-1720 - Phone
- (206) 623-5546
- Fax
- (206) 623-6055
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00005811 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark R. Grace, D.D.S., PLLC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00005811 | WA | Yes |
Addresses
Primary practice location
509 Olive Way
Suite 1242
Seattle, WA 98101-1720
Mailing address
509 Olive Way
Suite 1242
Seattle, WA 98101-1720
Phone (206) 623-5546
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.