Provider Demographics
NPI:1396557088
Name:STEEN AND PEYSAKHOV PLLC
Entity type:Organization
Organization Name:STEEN AND PEYSAKHOV PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:STEEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MD
Authorized Official - Phone:206-673-1800
Mailing Address - Street 1:18807 BEARDSLEE BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-1712
Mailing Address - Country:US
Mailing Address - Phone:425-489-8274
Mailing Address - Fax:425-487-9506
Practice Address - Street 1:18807 BEARDSLEE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-1712
Practice Address - Country:US
Practice Address - Phone:425-489-8274
Practice Address - Fax:425-487-9506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty