| NPI | 1043367436 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-01-05 |
| Last Updated | 2007-07-08 |
| Mailing Address | 2611 Ne 125th St, Suite 236 Seattle, WA 98125-4373 United States Phone: (206) 365-5880 | Fax: (206) 365-6412 📍 View Map |
| Primary Practice Address | 2611 Ne 125th St, Suite 236 Seattle, WA 98125-4373 United States Phone: (206) 365-5880 | Fax: (206) 365-6412 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 1223P0300X – Dentist, Periodontics | WA | DE00006272 |
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About NPI 1043367436
Jeanne L Bertino DMD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1043367436. The primary specialty listed is Dentist, Periodontics. The provider is located in Seattle, WA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043367436?
NPI 1043367436 belongs to Jeanne L Bertino DMD, a Dentist, Periodontics in Seattle, WA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043367436 active?
The current status of NPI 1043367436 in the NPPES registry is Active. The record was last updated on 2007-07-08.
What specialty is NPI 1043367436?
NPI 1043367436 is classified under the taxonomy Dentist, Periodontics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043367436?
You can verify NPI 1043367436 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043367436?
The primary practice address on file for NPI 1043367436 is 2611 Ne 125th St, Seattle, WA 98125-4373. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043367436 issued?
NPI 1043367436 was first issued (enumerated) on 2007-01-05. The NPPES record was last updated on 2007-07-08.
Practice Location Map
Jeanne L Bertino is located at 2611 Ne 125th St, Seattle, WA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jeanne L Bertino. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1043367436. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist, Periodontics | DE00006272 | WA |