MEDICARE: FRYE & DAVIES PLLC

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1629912670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRYE & DAVIES PLLC

Provider Business Mailing Address
First Line	:	710 ERICKSEN AVE NE STE 200
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-2835
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 ERICKSEN AVE NE STE 200
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-2835
Country	:	US
Telephone Number	:	206-842-2646
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	BRIAN DALTOSO
Credential	:
Telephone Number	:	509-288-1443

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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