| Fernyhough Periodontics Premier Periodontics | |
|
10050 Ne 10th St Bellevue WA 98008 | |
| (425) 455-2020 | |
| (425) 455-0310 |
| Full Name | Fernyhough Periodontics Premier Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 10050 Ne 10th St, Bellevue, Washington |
| Authorized Official Name and Position | Will S Fernyhough (PRESIDENT) |
| Authorized Official Contact | 4254552020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernyhough Periodontics Premier Periodontics 10050 Ne 10th St Bellevue WA 98008 Ph: (425) 455-2020 | Fernyhough Periodontics Premier Periodontics 10050 Ne 10th St Bellevue WA 98008 Ph: (425) 455-2020 |
| NPI Number | 1790900231 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790900231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DE00005930 (Washington) | Primary |
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