Individual provider · Type 1 NPI

Philip J. Etheredge, DDS

General Practice Dentistry · Kirkland, WA

NPI number 1093813800 Active

Practice location

13118 121st Way NE, Suite 102
Kirkland, WA 98034

Call (425) 822-0505 Map

Fax (425) 825-5661

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6091 (WA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1093813800

Philip J. Etheredge, DDS's National Provider Identifier is 1093813800, issued on Sep 20, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kirkland, WA. The record was last updated on Jul 8, 2007.