Organization
JASON PEHLING DDS MS PC
Active
Other names
TMJ Orofacial Disorders Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON P PEHLING DDS MS (PRESIDENT)
(206) 363-8240
Entity
Organization
Contact information
Practice address
2111 N NORTHGATE WAY, STE 221, SEATTLE, WA 98133-9018
(206) 363-8240
(206) 363-8301
Mailing address
2111 N NORTHGATE WAY, STE 221, SEATTLE, WA 98133
(206) 363-8240
(206) 363-8301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008992
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47570
PREMERA DENTAL
WA
01
—
93200
REGENCE
WA
01
—
SB930
PREMERA MEDICAL
WA
Enumeration date
05/23/2006
Last updated
04/25/2012
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