# SCCA-ORAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University Dentist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215051305
- **Authorized official:** DR. EDMOND L. TRUELOVE DDS, MSD (CHAIR & PROFESSOR)
- **Authorized official phone:** (206) 616-8794

## Contact information

- **Practice address:** 825 EASTLAKE AVE E, SUITE G6900, SEATTLE, WA 98109-4405
- **Practice address phone:** (206) 288-1333
- **Practice address fax:** (206) 288-1332
- **Mailing address:** PO BOX 357131, SEATTLE, WA 98195-7131
- **Mailing address phone:** (206) 616-8794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 281P00000X | Chronic Disease Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 08/22/2020