DR. PHILIP J ETHEREDGE DDS
NPI 1093813800
Dentist - General Practice in Kirkland, WA

Active since September 20, 2006
13118 121ST WAY NE, SUITE 102, KIRKLAND, WA 98034(425) 822-0505(425) 825-5661 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Philip J Etheredge Dds NPPES

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

DR. PHILIP J ETHEREDGE DDS (NPI 1093813800) is an individual general practice provider in Kirkland, Washington, licensed in Washington (6091) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1093813800
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PHILIP J ETHEREDGECredential: DDS
Location Address13118 121ST WAY NE, SUITE 102Kirkland, WA 98034
Mailing Address13118 121st Way Ne, Suite 102Kirkland, WA 98034 · (425) 822-0505 · Fax (425) 825-5661
Fax(425) 825-5661
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1093813800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · 6091
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
13118 121ST WAY NE, Kirkland, WA 98034

Accepted Insurance

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
13118 121ST WAY NE, SUITE 201
KIRKLAND, WA 98034
Acupuncturist
13118 121ST WAY NE, SUITE 100
KIRKLAND, WA 98034
Physical Therapist
13118 121ST WAY NE, SUITE 201
KIRKLAND, WA 98034
Dentist (Pediatric Dentistry)
13118 121ST WAY NE, SUITE 103
KIRKLAND, WA 98034
Physical Therapy Assistant
13118 121ST WAY NE, SUITE 201
KIRKLAND, WA 98034
Internal Medicine (Endocrinology, Diabetes & Metabolism)
13118 121ST WAY NE, SUITE 103
KIRKLAND, WA 98034
Family Medicine (Sports Medicine)
13118 121ST WAY NE, SUITE 100
KIRKLAND, WA 98034
Physical Therapist
13118 121ST WAY NE, SUITE 201
KIRKLAND, WA 98034

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 Philip Etheredge's NPI number?

The NPI number for Philip Etheredge is 1093813800. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Philip Etheredge located?

Philip Etheredge practices at 13118 121st Way NE Suite 102, Kirkland, WA 98034. The listed phone number is (425) 822-0505.

What is Philip Etheredge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Philip Etheredge accept?

Health plans from Humana and Premera Blue Cross Blue Shield of Alaska list Philip Etheredge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Philip Etheredge was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.