# NOLAN L. GERLACH D.D.S., P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bellevue Pediatric Dentistry and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972816460
- **Authorized official:** DR. NOLAN LOUIS GERLACH DDS (OWNER)
- **Authorized official phone:** (206) 854-6317

## Contact information

- **Practice address:** 875 140TH AVE NE, SUITE 200, BELLEVUE, WA 98005-3400
- **Practice address phone:** (425) 614-3777
- **Practice address fax:** (425) 641-1960
- **Mailing address:** 16604 SE 17TH PL, BELLEVUE, WA 98008-5125
- **Mailing address phone:** (206) 854-6317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE60130018 | WA | Yes |

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 07/26/2010