# KUTCIPAL & MAHIL DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** John K Tidwell DDS and Elizabeth A Kutcipal DDS PLLC, Kutcipal & Kutcipal DDS PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053875096
- **Authorized official:** ELIZABETH A KUTCIPAL DDS (OWNER)
- **Authorized official phone:** (206) 783-9672

## Contact information

- **Practice address:** 1448 NW MARKET STREET, SUITE 230, SEATTLE, WA 98107
- **Practice address phone:** (206) 783-9672
- **Practice address fax:** (206) 784-4812
- **Mailing address:** 1448 NW MARKET STREET, SUITE 230, SEATTLE, WA 98107
- **Mailing address phone:** (206) 783-9672
- **Mailing address fax:** (206) 784-4812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2019
- **Last updated:** 09/02/2025