Provider Demographics
NPI:1134346398
Name:AL KRUMLY, NABIL (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:NABIL
Middle Name:
Last Name:AL KRUMLY
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BELLEVUE WAY NE UNIT 104
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-2851
Mailing Address - Country:US
Mailing Address - Phone:612-703-5505
Mailing Address - Fax:
Practice Address - Street 1:11066 5TH AVE NE STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6156
Practice Address - Country:US
Practice Address - Phone:206-557-4522
Practice Address - Fax:206-557-4519
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 98911223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics