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Peter Douglas, DDS
Pediatric Dentist in Federal Way, Washington
NPI 1861999864

Peter Douglas is a Pediatric Dentist based in Seattle, WA and is specialized in Pediatric Dentistry. Peter Douglas practices in Federal Way, WA and has the professional credentials of DDS. The NPI Number for Peter Douglas is 1861999864 and holds a License No. (Washington).

The current practice location address for Peter Douglas is 32105 1St Ave S Ste B3, Federal Way, WA and can be reached out via phone at 253-838-2560. You can also correspond with Peter Douglas through the mailing address at 5822 56TH AVE NE, SEATTLE, WA - 98105-2165 (mailing address contact number: 712-560-6260).

Location: 32105 1St Ave S Ste B3, Federal Way, WA, 98105-2165
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861999864
Provider Name
Peter Douglas
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
32105 1St Ave S Ste B3, Federal Way, WA, 98105-2165
Phone Number
253-838-2560
Fax Number
Provider Enumeration Date
04/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
32105 1St Ave S Ste B3
City
Federal Way
State
Washington
Zip
98003-5719
Phone Number
253-838-2560
Fax Number
person
Provider Business Mailing Address Details
Address
5822 56Th Ave Ne
City
Seattle
State
Washington
Zip
98105-2165
Phone Number
712-560-6260
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
61039600 (Washington)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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