John Edward Heldridge
Oral and Maxillofacial Surgeon
21701 76th Ave W Suite 202
Edmonds
, Washington 98026-7536
John Edward Heldridge
Oral and Maxillofacial Surgeon
21701 76th Ave W Suite 202
Edmonds
, Washington 98026-7536
(425) 744-1724
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- John Edward Heldridge
- 21701 76th Ave W Suite 202
- Edmonds, WA
- Zip : 98026-7536
- Phone : (425) 744-1724
Second Address
- John Edward Heldridge
- 21701 76th Ave W Suite 202
- Edmonds, WA
- Zip : 98026-7536
- Phone : (425) 744-1724
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DE00004286 | WA |
National Provider Identifier
| NPI | 1093924243 |
|---|---|
| Provider Name | John Edward Heldridge |
| First Address | Edmonds, WA 98026-7536 |
| Second Address | Edmonds, WA 98026-7536 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5350608 | (05) | WA |
| TO3005 | (02) |
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.