MEDICARE: JONATHAN HUANG DDS MS PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DE60775313	WA

General Provider Information

NPI Number	:	1033635495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN HUANG DDS MS PHD

Provider Business Mailing Address
First Line	:	19817 SUNNYSIDE DR N APT J301
Second Line	:
City	:	SHORELINE
State	:	WA
Zip	:	98133-2714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21727 76TH AVE W STE 110
Second Line	:
City	:	EDMONDS
State	:	WA
Zip	:	98026-7549
Country	:	US
Telephone Number	:	425-775-1055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2017
Last Update Date	:	08/17/2017

Similar Medicare Providers

1386257491 — TARA LEILA SCOTT PMHNP-BC
Practice Location Address:

21727 76TH AVE W STE C
EDMONDS, WA
98026-7549

Practice Phone: 206-677-8167
Practice Fax:

1477891646 — MAHONEY FAMILY DENTISTRY
Practice Location Address:

21727 76TH AVE W
EDMONDS, WA
98026-7549

Practice Phone: 425-967-7272
Practice Fax:

1356753743 — SHEENA NGUYEN D.O.
Practice Location Address:

21727 76TH AVE W STE H
EDMONDS, WA
98026-7549

Practice Phone: 425-672-1333
Practice Fax: 206-525-1169

1609288554 — MICHIKO MAEDA HUANG DDS
Practice Location Address:

21727 76TH AVE W STE 110
EDMONDS, WA
98026-7549

Practice Phone: 205-948-5455
Practice Fax:

1255858247 — AME PHITWONG ARNP
Practice Location Address:

21727 76TH AVE W STE H
EDMONDS, WA
98026-7549

Practice Phone: 425-672-1333
Practice Fax: 425-672-7755

1588183289 — JONATHAN HUANG DMD MS PHD AND MICHIKO HUANG DDS
Practice Location Address:

21727 76TH AVE W STE 110
EDMONDS, WA
98026-7549

Practice Phone: 425-775-1055
Practice Fax:

Directions to “ JONATHAN HUANG DDS MS PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.