Provider Demographics
NPI:1427172691
Name:MICHAEL W. HUEY D.M.D. & SEVAK ADAMIAN D.D.S., M.S., P.S.
Entity type:Organization
Organization Name:MICHAEL W. HUEY D.M.D. & SEVAK ADAMIAN D.D.S., M.S., P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:HUEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:360-692-7668
Mailing Address - Street 1:1342 NE MCWILLIAMS RD STE 120
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98311-9342
Mailing Address - Country:US
Mailing Address - Phone:360-629-7668
Mailing Address - Fax:360-692-0380
Practice Address - Street 1:1342 NE MCWILLIAMS RD STE 120
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98311-3005
Practice Address - Country:US
Practice Address - Phone:360-692-7668
Practice Address - Fax:360-692-0380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA75371223E0200X
WA78711223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty