Etheridge Family Dentistry

LBN: Etheridge Family Dentistry
Etheridge Family Dentistry is an health care organization with primary practice located at 3130 E Madison St Ste 103 , Seattle WA 98112-4221. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Periodontics, Dental Providers / Prosthodontics. Dental Providers / Endodontics is the primary health care specialty. Etheridge Family Dentistry can be contacted via phone (206) 323-0990, or through Liu, Lori via phone (206) 323-0990.

Contact Information

Primary practice address
3130 E Madison St Ste 103 Seattle WA 98112-4221
Phone: (206) 323-0990
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Liu, Lori
Phone: (206) 323-0990

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X

Profile Details

NPI number 1093147068
LBN Legal business name Etheridge Family Dentistry
DBA Doing business as
Authorized official Liu, Lori
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2013
Last updated Aug 1st, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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