Provider Demographics
NPI:1285851006
Name:STEVEN C. ALEINIKOFF, DDS & CRAIG M. TIMBERLAKE, DDS
Entity type:Organization
Organization Name:STEVEN C. ALEINIKOFF, DDS & CRAIG M. TIMBERLAKE, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALEINIKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-523-2025
Mailing Address - Street 1:4522 15TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-4507
Mailing Address - Country:US
Mailing Address - Phone:206-523-2025
Mailing Address - Fax:206-525-6956
Practice Address - Street 1:4522 15TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4507
Practice Address - Country:US
Practice Address - Phone:206-523-2025
Practice Address - Fax:206-525-6956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty