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DR. TY WILLIAM ETHERIDGE D.D.S
NPI 1720202401
Dentist - General Practice in Seattle, WA

Active since April 12, 2007
3130 E MADISON ST, SUITE 103, SEATTLE, WA 98112(206) 323-0990(206) 323-0977 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. Ty William Etheridge D.d.s NPPES

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

DR. TY WILLIAM ETHERIDGE D.D.S (NPI 1720202401) is an individual general practice provider in Seattle, Washington, licensed in Washington (DE00008770) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1720202401
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TY WILLIAM ETHERIDGECredential: D.D.S
Location Address3130 E MADISON ST, SUITE 103Seattle, WA 98112-4264
Mailing Address3130 E Madison St, Suite 103Seattle, WA 98112-4264 · (206) 323-0990 · Fax (206) 323-0977
Phone(206) 323-0990
Fax(206) 323-0977
Sole ProprietorNo
Enumeration DateApril 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720202401 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 · DE00008770
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.
3130 E MADISON ST, Seattle, WA 98112
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Other Providers at the Same Location NPPES 7

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

INDERJEET KAUR RAMGOTRA EAMP
Acupuncturist
3130 E MADISON ST, #200
SEATTLE, WA 98112
King County (206) 328-3058
EVA PAPP MA, LMHC
Counselor (Mental Health)
3130 E MADISON ST, 203-B
SEATTLE, WA 98112
King County (206) 234-2833
CONNIE C. CURLETT MA
Counselor (Mental Health)
3130 E MADISON ST, #203B
SEATTLE, WA 98112
King County (206) 293-5889
DR. BRENT SPENCER DDS
Dentist
3130 E MADISON ST, SUITE 103
SEATTLE, WA 98112
King County (206) 323-0990
CARLA D CURIO
Counselor (Mental Health)
3130 E MADISON ST, SUITE 203 A
SEATTLE, WA 98112
King County (206) 450-0706
WITOLD KRASSOWSKI III MSAOM, L.AC.
Acupuncturist
3130 E MADISON ST, SUITE 200
SEATTLE, WA 98112
King County (206) 328-3058
ALISON E WITHEY M.A.
Counselor
3130 E MADISON ST, SUITE 203B
SEATTLE, WA 98112
King County (206) 250-9060

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 Ty Etheridge's NPI number?

The NPI number for Ty Etheridge is 1720202401. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Ty Etheridge located?

Ty Etheridge practices at 3130 E Madison St Suite 103, Seattle, WA 98112. The listed phone number is (206) 323-0990.

What is Ty Etheridge's specialty?

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

When was this NPI record last updated?

The NPPES record for Ty Etheridge 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.