Provider Demographics
NPI:1558854455
Name:DENNIS, JULIETTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIETTE
Middle Name:
Last Name:DENNIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18250 142ND AVE NE APT 201
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-4362
Mailing Address - Country:US
Mailing Address - Phone:816-898-3106
Mailing Address - Fax:
Practice Address - Street 1:17705 140TH AVE NE STE A14
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-4355
Practice Address - Country:US
Practice Address - Phone:425-947-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA610995351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice