Provider Demographics
NPI:1356492748
Name:JEFFREY T FILES DDS FAGD PS
Entity Type:Organization
Organization Name:JEFFREY T FILES DDS FAGD PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:FILES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-885-0008
Mailing Address - Street 1:8178 164TH AVE NE STE A
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-1509
Mailing Address - Country:US
Mailing Address - Phone:425-885-0008
Mailing Address - Fax:425-895-1180
Practice Address - Street 1:8178 164TH AVE NE STE A
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-1509
Practice Address - Country:US
Practice Address - Phone:425-885-0008
Practice Address - Fax:425-895-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00006119261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental