Dr. Kamran Fotoohi, DDS
Dentist in Everett, WA. Individual provider (NPI-1).
NPI number1164089769
StatusActive
Last updated in NPPESJun 3, 2026
Details
- NPI
- 1164089769
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kamran Fotoohi
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 20, 2019
- Certification date
- Jun 3, 2026
- Last updated
- Jun 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DE61052139 | WA | Yes |
| 1223G0001X | Dentist, General Practice | DE61052139 | WA |
Practice location
1019 112th St SwEverett, WA 98204-4875
Phone 425-551-6200
Mailing address
1019 112th St SwEverett, WA 98204-4875
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