| Implant & Periodontal Associates Nw Dr Jon Tarleton Dds Msd | |
|
5723 Ne Bothell Way Suite D Kenmore WA 98028 | |
| (425) 486-9111 | |
| (425) 489-1923 |
| Full Name | Implant & Periodontal Associates Nw Dr Jon Tarleton Dds Msd |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 5723 Ne Bothell Way, Kenmore, Washington |
| Authorized Official Name and Position | Jon Tarleton (OWNER) |
| Authorized Official Contact | 4254869111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Implant & Periodontal Associates Nw Dr Jon Tarleton Dds Msd 5723 Ne Bothell Way Suite D Kenmore WA 98028 Ph: (425) 486-9111 | Implant & Periodontal Associates Nw Dr Jon Tarleton Dds Msd 5723 Ne Bothell Way Suite D Kenmore WA 98028 Ph: (425) 486-9111 |
| NPI Number | 1932654373 |
|---|---|
| Provider Enumeration Date | 08/15/2016 |
| Last Update Date | 05/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932654373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DE60455178 (Washington) | Primary |
Dental Assistant Training Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 Ne Bothell Way Ste 2, Kenmore, WA 98028 Phone: 425-806-8816 Fax: 425-806-8832 | |
Northshore Endodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 Ne Bothell Way, Suite 1, Kenmore, WA 98028 Phone: 425-488-9785 Fax: 425-402-0835 | |
Carol Lin Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 Ne Bothell Way Ste 5, Kenmore, WA 98028 Phone: 425-488-1405 | |