Provider Demographics
NPI:1942650049
Name:JURGES, ERICH LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERICH
Middle Name:LYNN
Last Name:JURGES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 N MISSION ST STE A
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-6711
Mailing Address - Country:US
Mailing Address - Phone:509-436-8202
Mailing Address - Fax:509-214-6536
Practice Address - Street 1:1114 N MISSION ST STE A
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-6711
Practice Address - Country:US
Practice Address - Phone:509-536-8202
Practice Address - Fax:509-214-6536
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE606425241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice