Individual provider · Type 1 NPI

Ty William Etheridge, D.D.S

General Practice Dentistry · Seattle, WA

NPI number 1720202401 Active

Practice location

3130 E Madison St, Suite 103
Seattle, WA 98112-4264

Call (206) 323-0990 Map

Fax (206) 323-0977

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDE00008770 (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 1720202401

Ty William Etheridge, D.D.S's National Provider Identifier is 1720202401, issued on Apr 12, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Seattle, WA. The record was last updated on Jul 8, 2007.