Kyle C. Tanaka, DDS

General Practice Dentistry · Lynnwood, WA

Individual Active NPI

NPI number 1508946567

Practice location

19320 40TH Ave W
Suite a
Lynnwood, WA 98036-4602
Phone
(425) 776-2126
Fax
(425) 776-2126

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NPI record

NPI
1508946567
Entity type
Individual (Type 1)
Enumeration date
October 16, 2006
Last updated
June 15, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE00010994 WA

About Dr. Tanaka

Kyle C. Tanaka, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 19320 40TH Ave W, Suite a, Lynnwood, WA 98036-4602. The NPI number 1508946567 was assigned on October 16, 2006 and the record was last updated on June 15, 2010.

Dr. Tanaka lists a license in the registry: #DE00010994 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kyle C. Tanaka, DDS?

The NPI number is 1508946567.

What is the phone number of Dr. Tanaka?

The phone number listed for the practice location is (425) 776-2126.

Where is Dr. Tanaka located?

19320 40TH Ave W, Suite a, Lynnwood, WA 98036-4602.

What is the taxonomy code for Dr. Tanaka?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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