# BRADLEY S. MOTT, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kenmore Smiles Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396173704
- **Authorized official:** DR. BRADLEY S MOTT DDS (MEMBER, MANAGER)
- **Authorized official phone:** (763) 227-5222

## Contact information

- **Practice address:** 6507 NE 181ST ST, KENMORE, WA 98028-4801
- **Practice address phone:** (425) 486-9211
- **Practice address fax:** (425) 402-1093
- **Mailing address:** 6507 NE 181ST ST, KENMORE, WA 98028-4801
- **Mailing address phone:** (425) 486-9211
- **Mailing address fax:** (425) 402-1093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE60091370 | WA | Yes |

## Other

- **Enumeration date:** 10/22/2013
- **Last updated:** 01/01/2014