Individual
DR. ANDREA MEREDITH FONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12045 SE 76TH ST, NEWCASTLE, WA 98056-1776
(206) 579-5163
Mailing address
12045 SE 76TH ST, NEWCASTLE, WA 98056-1776
(206) 579-5163
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10015
WA
1223D0004X
Dental Anesthesiology
Primary
10015
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5049358
—
WA
Enumeration date
07/26/2006
Last updated
04/21/2026
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