# JILL TETRICK DDS, PLLC

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

## Provider details

- **NPI number:** 1932613684
- **Authorized official:** JILL TETRICK DDS (DENTIST/OWNER)
- **Authorized official phone:** (360) 734-4374

## Contact information

- **Practice address:** 3628 MERIDIAN ST STE 1C, BELLINGHAM, WA 98225-1735
- **Practice address phone:** (360) 734-4374
- **Practice address fax:** (360) 715-9196
- **Mailing address:** 3628 MERIDIAN ST STE 1C, BELLINGHAM, WA 98225-1735
- **Mailing address phone:** (360) 734-4374
- **Mailing address fax:** (360) 715-9196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 11/16/2017
- **Last updated:** 03/24/2023