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

Dr. Philip J Etheredge, DDS

Individual provider General Practice Dentistry · NPI 1093813800

Dr. Philip J Etheredge, DDS is a General Practice Dentistry in Kirkland, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
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

13118 121st Way NE Ste 102
Kirkland, WA 98034
Phone: (425) 822-0505
Fax: (425) 825-5661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6091 (WA)

Record details

NPI number1093813800
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2007

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