# STEPHEN MACGEORGE DDS

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

## Provider details

- **NPI number:** 1225584063
- **Authorized official:** DR. STEPHEN M MACGEORGE DDS (OWNER)
- **Authorized official phone:** (206) 546-4815

## Contact information

- **Practice address:** 1207 N 200TH ST, SUITE 220, SHORELINE, WA 98133-3213
- **Practice address phone:** (206) 546-4815
- **Practice address fax:** (206) 546-2375
- **Mailing address:** 1207 N. 200TH ST., SUITE 220, SHORELINE, WA 98133
- **Mailing address phone:** (206) 546-4815
- **Mailing address fax:** (206) 546-2375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 5599 | WA | Yes |

## Other

- **Enumeration date:** 08/31/2016
- **Last updated:** 08/31/2016