Healthcare Provider Details

I. General information

NPI: 1730007923
Provider Name (Legal Business Name): GEORGE WALRATH DMD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 COMMERCIAL AVE
ANACORTES WA
98221-2739
US

IV. Provider business mailing address

3001 COMMERCIAL AVE
ANACORTES WA
98221-2739
US

V. Phone/Fax

Practice location:
  • Phone: 360-588-9216
  • Fax: 360-299-3494
Mailing address:
  • Phone: 360-588-9216
  • Fax: 360-299-3494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: GEORGE WALRATH
Title or Position: OWNER
Credential: DMD
Phone: 626-321-2334