Dr. Adam C. Fettig
Oral and Maxillofacial Pathology
12330 120th Ave Ne
Kirkland
, Washington 98034-6926
Dr. Adam C. Fettig
Oral and Maxillofacial Pathology
12330 120th Ave Ne
Kirkland
, Washington 98034-6926
(425) 821-0500
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Adam C. Fettig
- 12330 120th Ave Ne
- Kirkland, WA
- Zip : 98034-6926
- Fax : (425) 821-0500
- Phone : (425) 821-7979
Second Address
- Dr. Adam C. Fettig
- 12330 120th Ave Ne
- Kirkland, WA
- Zip : 98034-6926
- Fax : (425) 821-0500
- Phone : (425) 821-7979
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FAQs
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Is Dr. Adam C. Fettig a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 8743 | WA |
National Provider Identifier
| NPI | 1417047549 |
|---|---|
| Provider Name | Dr. Adam C. Fettig |
| First Address | Kirkland, WA 98034-6926 |
| Second Address | Kirkland, WA 98034-6926 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U44162 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.