DR. ANDREA MEREDITH FONNER DDS
NPI 1083638985
Dentist - Dentist Anesthesiologist in Newcastle, WA

Active since July 26, 2006
12045 SE 76TH ST, NEWCASTLE, WA 98056(206) 579-5163 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Andrea Meredith Fonner Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREA MEREDITH FONNER DDS (NPI 1083638985) is an individual dentist anesthesiologist in Newcastle, Washington, licensed in Washington (10015) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1083638985
Entity TypeIndividualFemale
Primary Taxonomy1223D0004X
Provider Legal NameDR. ANDREA MEREDITH FONNERCredential: DDS
Location Address12045 SE 76TH STNewcastle, WA 98056-1776
Mailing Address12045 Se 76th StNewcastle, WA 98056-1776 · (206) 579-5163
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateApril 21, 2026
NPPES CertifiedApril 21, 2026
NPI 1083638985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License Licensed in WA · 10015
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
12045 SE 76TH ST, Newcastle, WA 98056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Fonner's NPI number?

The NPI number for Andrea Fonner is 1083638985. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Andrea Fonner located?

Andrea Fonner practices at 12045 SE 76th St, Newcastle, WA 98056. The listed phone number is (206) 579-5163.

What is Andrea Fonner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Andrea Fonner was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.