# JEFF KNUDSON DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brush Dental Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912249830
- **Authorized official:** DR. JEFFREY C KNUDSON DDS (OWNER/DENTIST)
- **Authorized official phone:** (206) 523-7180

## Contact information

- **Practice address:** 909 NE 45TH ST, SEATTLE, WA 98105-4714
- **Practice address phone:** (206) 523-7180
- **Practice address fax:** (206) 523-0323
- **Mailing address:** 909 NE 45TH ST, SEATTLE, WA 98105-4714
- **Mailing address phone:** (206) 523-7180
- **Mailing address fax:** (206) 523-0323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60170676 | WA | Yes |

## Other

- **Enumeration date:** 03/18/2013
- **Last updated:** 03/18/2013