Julia Fredericks Dmd PLLC
Dentist, General Practice in Seattle, WA. Organization (NPI-2).
NPI number1487933362
StatusActive
Last updated in NPPESAug 10, 2011
Details
- NPI
- 1487933362
- Entity type
- Organization (NPI-2)
- Legal business name
- Julia Fredericks Dmd PLLC
- Organization subpart
- No
- Enumeration date
- Aug 10, 2011
- Last updated
- Aug 10, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DE60116120 | WA | Yes |
Other names
- 2200 Westlake Dentistry (Doing Business As)
Practice location
900 Lenora St Ste 216Seattle, WA 98121-2753
Phone 206-402-5490
Mailing address
900 Lenora St Ste 216Seattle, WA 98121-2753
Phone 206-402-5490
Authorized official
Julia Fredericks
Dentist
2064025490
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