PREMIER PERIODONTICS PPLC NPI 1508102120

NPI Information

PREMIER PERIODONTICS PPLC is a periodontics dentist in Bellevue, WA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PREMIER PERIODONTICS PPLC NPI is 1508102120. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10050 NE 10TH ST SUITE C
BELLEVUE, WA
ZIP 98004
Phone: (425) 455-2020
Fax: (425) 455-0310

The provider's authorized official is Will S Fernyhough .
The authorized official title is Doctor and has the following contact phone number (425) 455-2020.

The enumeration date for this NPI number is 12/31/2012 and was last updated on 1/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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