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Active NPI 1831644269 Organization (Entity Type 2)

David A. Killen, Dds, Ps

Clinic/Center - Dental • Bothell, WA

About David A. Killen, Dds, Ps NPI 1831644269 Summary

David A. Killen, Dds, Ps is a verified healthcare organization specializing in Clinic/Center - Dental operating in Bothell, WA. Located at 2020 MALTBY RD STE 9, this facility provides patient care and medical services under National Provider Identifier (NPI) 1831644269.

Administrative operations and authorized compliance are overseen by David Killen (Ceo).

Facility Location & Contact Primary Location

Facility Address

2020 Maltby Rd Ste 9

Bothell, WA 980218669

Telephone 4254818280

Authorized Official Information

Authorized Contact Name

DR. David Killen , DDS

Title / Role

Ceo

Official Telephone

4254818280

Facility Classifications & Specialties

Clinic/Center - Dental Primary Taxonomy

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
✅
NPI Profile Active August 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2016

Registered at 2020 MALTBY RD STE 9, BOTHELL, WA 980218669 (Tel: 4254818280)

📍
Updated Business Mailing Address August 15, 2016

Registered at 2020 MALTBY RD STE 9, BOTHELL, WA 980218669 (Tel: 4254818280)

🏛️
Organization / Clinic Name Updated August 15, 2016

Operating as DAVID A. KILLEN, DDS, PS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2016

Clinic/Center (License #DE00007721 in WA)

🟢
Initial NPI Registration & Enumeration August 15, 2016

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1831644269
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 15, 2016
Last Update: August 15, 2016
Update or Correct Listing

Mailing Address

2020 Maltby Rd Ste 9

Bothell, WA 980218669

Phone: 4254818280

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.