Provider Demographics
NPI:1346606746
Name:ERKE & CARPENTER PLLC
Entity Type:Organization
Organization Name:ERKE & CARPENTER PLLC
Other - Org Name:SPRINGBROOK DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARNASCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-526-1665
Mailing Address - Street 1:4540 SAND POINT WAY NE
Mailing Address - Street 2:STE 160
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3941
Mailing Address - Country:US
Mailing Address - Phone:206-526-1665
Mailing Address - Fax:
Practice Address - Street 1:4540 SAND POINT WAY NE
Practice Address - Street 2:STE 160
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105
Practice Address - Country:US
Practice Address - Phone:206-526-1665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00009656122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty