# UW DENTISTS - FACULTY ENDODONTICS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1659498301
- **Authorized official:** MR. ROBERT RUSSELL (MANAGER, PATIENT ACCOUNTS)
- **Authorized official phone:** (206) 616-8794

## Contact information

- **Practice address:** 1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
- **Practice address phone:** (206) 616-8794
- **Practice address fax:** (206) 616-9520
- **Mailing address:** 1959 NE PACIFIC ST, P.O. BOX 357131, SEATTLE, WA 98195-0001
- **Mailing address phone:** (206) 616-8794
- **Mailing address fax:** (206) 616-9520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020