Provider Demographics
NPI:1972583771
Name:FLEEGE, PATRICK A (DDS MSD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:A
Last Name:FLEEGE
Suffix:
Gender:M
Credentials:DDS MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX 99654
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98139-0654
Mailing Address - Country:US
Mailing Address - Phone:206-282-2285
Mailing Address - Fax:
Practice Address - Street 1:3621 29TH AVE W
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98199-1746
Practice Address - Country:US
Practice Address - Phone:206-282-2285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPE000039301223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry