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Active NPI 1710267075 Individual Practitioner Male Practitioner

Dr. Jonathan Tarleton , DDS, MSD

Dentist - Periodontics • Kenmore, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Tarleton, DDS, MSD is a registered healthcare professional specializing in Dentist - Periodontics in Kenmore, WA. Practice services are available at 5723 NE BOTHELL WAY STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5723 Ne Bothell Way Ste C

Kenmore, WA 98028

Telephone 4254869111
Fax 4254891923
Associated Practice Facility / Clinic
🏢 Robert M. Gottlieb, Dds, Ps Facility NPI 1558783670

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Kenmore, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Kenmore, WA (195 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-15
Dentist - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License WA DE60455178

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Dentist

NUCC Taxonomy Code: 122300000X

State License IL 019028835

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Michael Cohen , DDS, MSD

Dentist - Periodontics

NPI 1053463901

Doctor of Dental Surgery, MSD

NPI 1922120377

Doctor of Dental Surgery, Master of Science

Dr. Robert Gottlieb , DDS

Dentist - Periodontics

NPI 1982756920

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 04, 2018

Registered at 5723 NE BOTHELL WAY STE C, KENMORE, WA 98028 (Tel: 4254869111)

📍
Updated Business Mailing Address September 04, 2018

Registered at 5723 NE BOTHELL WAY STE C, KENMORE, WA 980289404 (Tel: 4254869111)

NPI Profile Active July 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2014

Registered at 12333 35TH AVE NE, SEATTLE, WA 981255600 (Tel: 2063067000)

📍
Updated Business Mailing Address July 03, 2014

Registered at 2705 155TH ST SE, MILL CREEK, WA 980124857 (Tel: 2063067000)

👤
Provider Name / Credentials Updated July 03, 2014

Recorded as JONATHAN TARLETON, DDS, MSD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2014

Dentist (License #019028835 in IL)

🟢
Initial NPI Registration & Enumeration August 18, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710267075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2011
Last Update: December 15, 2025
Sole Proprietor: No

Mailing Address

5723 Ne Bothell Way Ste C

Kenmore, WA 980289404

Phone: 4254869111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.