MEDICARE: ANDREW J. TELLINGTON DMD, P.C.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number	:	1427997105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDREW J. TELLINGTON DMD, P.C.

Provider Business Mailing Address
First Line	:	10855 SILVERDALE WAY NW UNIT 1460
Second Line	:
City	:	SILVERDALE
State	:	WA
Zip	:	98383-9827
Country	:	US
Telephone Number	:	360-895-8841
Fax Number	:	360-895-9350

Provider Business Practice Location Address
First Line	:	727 ERICKSEN AVE NE STE 2
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-1882
Country	:	US
Telephone Number	:	206-842-8135
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANDREW JAY TELLINGTON
Credential	:	DMD
Telephone Number	:	360-895-8841

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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