Individual
MICHAEL HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1416 NW 46TH ST STE 106, SEATTLE, WA 98107-4622
(206) 783-0330
Mailing address
1416 NW 46TH ST STE 106, SEATTLE, WA 98107-4622
(206) 783-0330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61393727
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170061
—
OR
01
—
4285457
UNITED CONCORDIA
OR
Enumeration date
07/02/2018
Last updated
12/20/2024
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