# SAMUEL BOBEK PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Seattle Jaw Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841833431
- **Authorized official:** SAMUEL BOBEK DMD, MD (OWNER)
- **Authorized official phone:** (503) 475-4735

## Contact information

- **Practice address:** 600 BROADWAY STE 460, SEATTLE, WA 98122-5312
- **Practice address phone:** (206) 320-2078
- **Mailing address:** 600 BROADWAY STE 460, SEATTLE, WA 98122-5312
- **Mailing address phone:** (206) 320-2078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 10/25/2019
- **Last updated:** 10/28/2019