MEDICARE: PETERSON & FRANKLIN DENTISTRY

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	:	1871441873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETERSON & FRANKLIN DENTISTRY

Provider Business Mailing Address
First Line	:	1540 140TH AVE NE STE 101
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98005-4579
Country	:	US
Telephone Number	:	425-502-9743
Fax Number	:	425-698-1580

Provider Business Practice Location Address
First Line	:	1540 140TH AVE NE STE 101
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98005-4579
Country	:	US
Telephone Number	:	425-502-9743
Fax Number	:	425-698-1580

Authorized Official
Title or Position	:	FINANCIAL COORDINATOR
Name	:	KARMA J CHELINI
Credential	:
Telephone Number	:	425-502-9743

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

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