Jake Ericksen, DDS

NPI 1023683398 · on the registry since 2021

Practice

Address: 5611 119th Ave Se Ste 2
Bellevue, WA 98006
Phone: (425) 746-6554
Organisation at this address: Jun Sun Dds
Newport Hills Dental
Dorothy Laura Johnson
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 122300000X
122300000X
Also registered as: 390200000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington