Healthcare Provider Details

I. General information

NPI: 1003747437
Provider Name (Legal Business Name): U VILLAGE ENDODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3216 NE 45TH PL STE 202
SEATTLE WA
98105-4028
US

IV. Provider business mailing address

3216 NE 45TH PL STE 202
SEATTLE WA
98105-4028
US

V. Phone/Fax

Practice location:
  • Phone: 206-523-7229
  • Fax: 206-523-8299
Mailing address:
  • Phone: 206-523-7229
  • Fax: 206-523-8299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: JEANNA M EDGERTON
Title or Position: PRACTICE MANAGER
Credential:
Phone: 206-523-7229