Provider Demographics
NPI:1861725244
Name:MICHAEL L BILIKAS DDS, PS
Entity type:Organization
Organization Name:MICHAEL L BILIKAS DDS, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BILIKAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-322-8862
Mailing Address - Street 1:8811 BRIDGEPORT WAY SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2645
Mailing Address - Country:US
Mailing Address - Phone:253-584-3501
Mailing Address - Fax:253-584-3501
Practice Address - Street 1:200 LAKE WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-6591
Practice Address - Country:US
Practice Address - Phone:206-322-8862
Practice Address - Fax:206-267-0866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00010487122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty