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ETHERIDGE FAMILY DENTISTRY
NPI 1093147068
Dentist - Endodontics in Seattle, WA

Active since August 01, 2013
3130 E MADISON ST STE 103, SEATTLE, WA 98112(206) 323-0990 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Etheridge Family Dentistry NPPES

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

ETHERIDGE FAMILY DENTISTRY (NPI 1093147068) is a healthcare organization registered as an endodontics in Seattle, Washington and active in the NPI registry since August 2013. The organization lists Lori Liu, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093147068
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameETHERIDGE FAMILY DENTISTRY
Location Address3130 E MADISON ST STE 103Seattle, WA 98112-4221
Mailing Address3130 E Madison St Ste 103Seattle, WA 98112-4221 · (206) 323-0990
Phone(206) 323-0990
Organization SubpartNo
Authorized OfficialLori LiuOffice Manager · (206) 323-0990
Enumeration DateAugust 1, 2013
✔ NPI 1093147068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
3130 E MADISON ST STE 103, Seattle, WA 98112
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Etheridge Family Dentistry's NPI number?

The NPI number for Etheridge Family Dentistry is 1093147068. It was assigned to this organization in the NPPES registry on August 1, 2013.

Where is Etheridge Family Dentistry located?

Etheridge Family Dentistry is located at 3130 E Madison St Ste 103, Seattle, WA 98112. The listed phone number is (206) 323-0990.

What is Etheridge Family Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Etheridge Family Dentistry was last updated on August 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.