# PAUL R. YETTER DDS, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013360080
- **Authorized official:** DR. PAUL YETTER DDS (OWNER)
- **Authorized official phone:** (425) 347-5040

## Contact information

- **Practice address:** 8227 44TH AVE W, STE A, MUKILTEO, WA 98275-2815
- **Practice address phone:** (425) 347-5040
- **Mailing address:** 8227 44TH AVE W STE A, MUKILTEO, WA 98275-2848
- **Mailing address phone:** (425) 347-5040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 126800000X | Dental Assistant | — | NULL | — |
| 126800000X | Dental Assistant | — | — | — |

## Other

- **Enumeration date:** 07/14/2016
- **Last updated:** 07/14/2016