Provider Demographics
NPI:1326297383
Name:BUEHLER, JESSICA SAURINO (DDS)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:SAURINO
Last Name:BUEHLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:LYNN
Other - Last Name:SAURINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:15421 MAIN STREET, SUITE 101
Mailing Address - Street 2:DR. JESSICA BUEHLER C/O GENTLE DENTAL MILL CREEK
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012
Mailing Address - Country:US
Mailing Address - Phone:425-316-8095
Mailing Address - Fax:425-316-9210
Practice Address - Street 1:15421 MAIN STREET, SUITE 101
Practice Address - Street 2:DR. JESSICA BUEHLER C/O GENTLE DENTAL MILL CREEK
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012
Practice Address - Country:US
Practice Address - Phone:425-316-8095
Practice Address - Fax:425-316-9210
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADR600248621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice