Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairwood Orthodontics

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1619037157

Fairwood Orthodontics is an Orthodontics and Dentofacial Orthopedics Dentistry in Renton, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

14300 SE Petrovitsky Rd
Renton, WA 98058
Phone: (425) 235-8800
Fax: (425) 235-0288
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DE00008957 (WA)

Record details

NPI number1619037157
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mario Chorak — Orthodontist Owner · (425) 235-8800
Other names Mercer Island Orthodontics
NPI enumeratedDecember 12, 2006
Last updated in NPPESAugust 8, 2008
Mailing address14300 Se Petrovitsky Road, Renton, WA 98058

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