MEDICARE: JUDSON A. WERNER, DDS, PS

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1407704489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUDSON A. WERNER, DDS, PS

Provider Business Mailing Address
First Line	:	2150 112TH AVE NE STE B
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98004-2975
Country	:	US
Telephone Number	:	425-454-2892
Fax Number	:	425-451-8266

Provider Business Practice Location Address
First Line	:	2150 112TH AVE NE STE B
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98004-2975
Country	:	US
Telephone Number	:	425-454-2892
Fax Number	:	425-451-8266

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JUDSON WERNER
Credential	:	DDS
Telephone Number	:	425-454-2892

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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