Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Provail Dental Clinic

Organization Dental Clinic/Center · NPI 1487845327

Provail Dental Clinic is a Dental Clinic/Center in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

10215 Lake City Way NE Ste E
Seattle, WA 98125-7758
Phone: (206) 632-2612
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X (WA)

Record details

NPI number1487845327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Hatzenbeler — Ceo · (206) 826-1044
NPI enumeratedAugust 6, 2007
Last updated in NPPESJuly 21, 2022
Mailing address3670 Stone Way N, Seattle, WA 98103-8004

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