Individual
DR. JASON P PEHLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2111 N NORTHGATE WAY, STE. 221, SEATTLE, WA 98133
(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
—
155609
LABOR AND INDUSTRIES
WA
01
—
47570
PREMERA DENTAL
WA
01
—
60054
AETNA DENTAL
WA
01
—
62308
CIGNA
WA
01
—
77777
DELTA DENTAL
WA
01
—
91131
CARPENTER'S HEALTH PLAN
WA
01
—
93200
BLUE CROSS BLUE SHIELD
WA
01
—
932000
REGENCE
—
01
—
SB930
PREMERA MEDICAL
WA
Enumeration date
05/24/2006
Last updated
03/24/2008
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