# NORTHSHORE ENDODONTICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194828566
- **Authorized official:** DR. JEFFREY A SAMYN DDS MSD (MANAGER OF NE PLLC)
- **Authorized official phone:** (425) 488-9785

## Contact information

- **Practice address:** 5701 NE BOTHELL WAY, SUITE 1, KENMORE, WA 98028
- **Practice address phone:** (425) 488-9785
- **Practice address fax:** (425) 402-0835
- **Mailing address:** 5701 NE BOTHELL WAY, SUITE 1, KENMORE, WA 98028
- **Mailing address phone:** (425) 488-9785
- **Mailing address fax:** (425) 402-0835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | DE00006931 | WA | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 08/22/2020