Healthcare Provider Details

I. General information

NPI: 1477416154
Provider Name (Legal Business Name): SWANSON & ERICKSEN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 116TH AVE NE STE 580
BELLEVUE WA
98004-4628
US

IV. Provider business mailing address

1135 116TH AVE NE STE 580
BELLEVUE WA
98004-4628
US

V. Phone/Fax

Practice location:
  • Phone: 425-454-4434
  • Fax: 425-454-4386
Mailing address:
  • Phone: 425-454-4434
  • Fax: 425-454-4386

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: DR. KRIS SWANSON
Title or Position: OWNER/PARTNER
Credential: DDS
Phone: 425-454-4434