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General NPI Number Information
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NPI Number | 1851097224
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Entity Type | Organization
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Legal Business Name | ANNIKKA FROSTAD-THOMAS DDS PLLC
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 3014 ISSAQUAH PINE LAKE RD SE STE A
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City | SAMMAMISH
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State | WA
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Zip | 98075-7253
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Country | US
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Telephone | 425-281-1823
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Fax |
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Provider Business Mailing Address
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Address Line | 3014 ISSAQUAH PINE LAKE RD SE STE A
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City | SAMMAMISH
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State | WA
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Zip | 98075-7253
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Country | US
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Telephone | 425-651-2626
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. ANNIKKA FROSTAD-THOMAS FREELOVE
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Credential | DDS
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Telephone | 425-651-2626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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