# ROSANNE P. COLUCCIO,D.D.S.,PS

> 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
- **Parent organization:** ROSANNE P. COLUCCIO D.D.S.,PS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972840718
- **Legal business name:** ROSANNE P. COLUCCIO D.D.S.,PS
- **Authorized official:** DR. ROSANNE PATRICE COLUCCIO DDS (GENERAL DENTIST)
- **Authorized official phone:** (425) 823-4100

## Contact information

- **Practice address:** 9800 NE 120TH PL, KIRKLAND, WA 98034-4220
- **Practice address phone:** (425) 823-4100
- **Practice address fax:** (425) 820-4699
- **Mailing address:** 9800 NE 120TH PL, KIRKLAND, WA 98034-4220
- **Mailing address phone:** (425) 823-4100
- **Mailing address fax:** (425) 820-4699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE00010054 | WA | Yes |

## Other

- **Enumeration date:** 01/14/2013
- **Last updated:** 01/14/2013