Individual provider · Type 1 NPI

Jake Ericksen, DDS

Dentist · Bellevue, WA

NPI number 1023683398 Active

Practice location

5611 119th Ave SE Ste 2
Bellevue, WA 98006-3799

Mailing address

1800 Eastlake Ave E Apt 301
Seattle, WA 98102-3787

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000XDE61166100 (WA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1023683398

Jake Ericksen, DDS's National Provider Identifier is 1023683398, issued on May 20, 2021. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Bellevue, WA. The record was last updated on Jul 8, 2021.