# OFP, TMJ AND DSM SPECIALISTS

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

## Provider details

- **NPI number:** 1306637103
- **Authorized official:** AMIT WADKE (DENTIST)
- **Authorized official phone:** (425) 322-1865

## Contact information

- **Practice address:** 10025 19TH AVE SE STE 201, EVERETT, WA 98208-4275
- **Practice address phone:** (425) 322-1865
- **Practice address fax:** (425) 297-4652
- **Mailing address:** 218 125TH PL SE UNIT B, EVERETT, WA 98208-6467
- **Mailing address phone:** (321) 234-5552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223X2210X | Orofacial Pain Dentistry | — | NULL | Yes |
| 1223X2210X | Orofacial Pain Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2025
- **Last updated:** 08/06/2025