Healthcare Provider Details

I. General information

NPI: 1356492748
Provider Name (Legal Business Name): JEFFREY T FILES DDS FAGD PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8178 164TH AVE NE STE A
REDMOND WA
98052-1509
US

IV. Provider business mailing address

8178 164TH AVE NE STE A
REDMOND WA
98052-1509
US

V. Phone/Fax

Practice location:
  • Phone: 425-885-0008
  • Fax: 425-895-1180
Mailing address:
  • Phone: 425-885-0008
  • Fax: 425-895-1180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License NumberDE00006119
License Number StateWA

VIII. Authorized Official

Name: DR. JEFF FILES
Title or Position: PRESIDENT OWNER DENTIST
Credential: DDS
Phone: 425-885-0008