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

Dr. Jonathan Tarleton, DDS, MSD

Individual provider Dentist · NPI 1710267075

Dr. Jonathan Tarleton, DDS, MSD is a Dentist in Kenmore, Washington. Licensed in Illinois and Washington. Registered with an NPI since 2011.

Licensed in
IL, WA
In the registry since
2011
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

5723 NE Bothell Way Ste C
Kenmore, WA 98028
Phone: (425) 486-9111
Fax: (425) 489-1923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DE60455178 (WA)
Dentist Taxonomy 122300000X · Licence 019028835 (IL)

Record details

NPI number1710267075
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MSD
Sole proprietorNo
NPI enumeratedAugust 18, 2011
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing address5723 Ne Bothell Way Ste C, Kenmore, WA 98028-9404

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