Dr. Jake Ericksen DDS
Dentist in Bellevue, WA(View on Map)
Full Name
Dr. Jake Ericksen DDS
NPI Number
1023683398
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/20/2021
Specialties
(Taxonomies)Code
122300000X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Washington
License Number
DE61166100
Contact
Information
Purpose
Mailing
Location
Address
1800 EASTLAKE AVE E APT 301
5611 119TH AVE SE STE 2
City
Seattle
Bellevue
State
WA
WA
Postal Code
98102-3787
98006-3799
Country
US
US
Telephone Number
N/A
(425) 746-6554
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2021
Provider Address
Other Dentists in Bellevue, Washington:
