SAHLI, IM, GU PLLC (NPI# 1790396893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790396893 |
| Entity Type | Organization |
| Organization Name | SAHLI, IM, GU PLLC |
| Practice Address |
7100 Fun Center Way Ste 110 Tukwila WA 98188-5540 |
| Practice Telephone | 4252919555 |
| Practice Fax Number | 4252919556 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | MOUTAZ SAHLI (OWNER) |
| Authorized Official Telephone | 4252919555 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| Street Address |
7100 FUN CENTER WAY STE 110 |
| City | TUKWILA |
| State | WA |
| Zip Code | 98188-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194342774 | Yemisirach Fikru Tufa | Registered Nurse | 3039 S 154th St, Aptb304, Seatac, WA 98188 | 2020-06-30 |
| 1841756608 | Silvia Ruby Campos | Behavior Technician | 651 Stander Blvd., Suite 112, Tukwila, WA 98188 | 2019-02-18 |
| 1720562036 | Alissa Hayes | Counselor | 631 Strander Bvd. Ste A., Tukwila, WA 98188 | 2018-09-21 |
| 1457859035 | Bashayer S Albadr | Student in an Organized Health Care Education/Training Program | 6100 South Center Blvd. 3rd Floor, Tukwila, WA 98188 | 2018-01-29 |
| 1356855522 | Miguel Angel Banos | Massage Therapist | 3000 Ne 4th St., Renton, WA 98188 | 2017-11-27 |
| 1801312061 | Emma Sinclair Jennings | Counselor | 651 Strander Blvd. Suite 105, Tukwila, WA 98188 | 2017-08-19 |
| 1518417526 | Jamila Fyrouz Iraqui | Counselor | 15142 65th Ave S, Apt. 312, Tukwila, WASHINGTON 98188 | 2016-10-13 |
| 1487026076 | Catholic Community Services of Western Washington | Clinic/Center | 631 Strander Blvd Ste A, Tukwila, WA 98188 | 2015-10-22 |
| 1659773174 | Thanh Thi-hong Nguyen | Physician Assistant | 3739 S 191st Pl, Seatac, WA 98188 | 2014-09-16 |
| 1053725101 | Affinity Home Care Services Inc | In Home Supportive Care | 601 Strander Blvd, Tukwila, WA 98188 | 2014-06-17 |
| Find all providers in zip 98188 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720604580 | Trevor Tsuchikawa Dds IIi Ps | Clinic/Center | 721 N 182nd St Ste 301, Shoreline, WA 98133-4400 | 2020-06-17 |
| 1487183000 | South Sound Ambulatory Surgery Center, Pllc | Clinic/Center | 3425 Ensign Rd Ne Ste 310, Olympia, WA 98506-5063 | 2017-06-07 |
| 1700339751 | David Larcher Dds | Clinic/Center | 24401 104th Ave Se Ste 101, Kent, WA 98030-4903 | 2016-07-26 |
| 1356794481 | Sunridge Oral Surgery | Clinic/Center | 5000 W Nob Hill Blvd, Yakima, WA 98908-3746 | 2016-07-13 |
| 1457751273 | Peter E. Kim, Dds, Ps | Clinic/Center | 2100 E Section St Ste 103, Mount Vernon, WA 98274-9132 | 2014-08-28 |
| 1700171410 | North Sound Oral and Facial Surgery P.s. | Clinic/Center | 2620 Commercial Ave, Anacortes, WA 98221-2732 | 2011-06-10 |
| 1427367788 | Thomas H. Hohl, D.d.s., P.s., Oral & Maxillofacial Surgery | Clinic/Center | 4540 Sand Point Way Ne Ste 360, Seattle, WA 98105-3941 | 2010-10-04 |
| 1114584968 | Christopher W Kyles Dmd Md Pllc | Clinic/Center | 400 E Mcleod Rd, Bellingham, WA 98226 | 2019-05-28 |
| 1578054342 | Nadeem S. Esmail Dds Md Pllc | Clinic/Center | 3136 Squalicum Pkwy, Bellingham, WA 98225-1954 | 2018-05-28 |
| 1619481561 | Nadelhoffer & Cullen Dental PC | Clinic/Center | 640 N Main Ave, White Salmon, WA 98672-8751 | 2017-11-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.