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GRAIG ERICKSON D.D.S. M.S.D. PLLC NPI 1649674706


NPI Information

NPI: 1649674706
Provider Name: GRAIG ERICKSON, D.D.S., M.S.D., PLLC

Doing Business As: SKY RIDGE PERIODONTICS

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
10814 19TH AVE SE
EVERETT, WA
ZIP 98208
Phone: (425) 337-4734
Get Directions

GRAIG ERICKSON, D.D.S., M.S.D., PLLC is a periodontics dentist in Everett, 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. GRAIG ERICKSON, D.D.S., M.S.D., PLLC NPI is 1649674706. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sky Ridge Periodontics.

The provider's business location address is:

10814 19TH AVE SE
EVERETT, WA
ZIP 98208-153
Phone: (425) 337-4734

The provider's authorized official is Graig Erickson .
The authorized official title is Periodontist and has the following contact phone number (425) 337-4734.

The enumeration date for this NPI number is 10/18/2014 and was last updated on 10/18/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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