Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720202401 Individual Practitioner Male Practitioner

Dr. Ty William Etheridge , DDS

Dentist - General Practice • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Dr. Ty Etheridge, DDS is a registered healthcare professional specializing in Dentist - General Practice in Seattle, WA. Practice services are available at 3130 E MADISON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3130 E Madison St
Suite 103

Seattle, WA 981124264

Telephone 2063230990
Fax 2063230977
Associated Practice Facility / Clinic
🏢 Etheridge Family Dentistry Facility NPI 1093147068

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
459 Specialists

Practicing in Seattle, WA (3345 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00008770

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1578916730

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3130 E MADISON ST, SUITE 103, SEATTLE, WA 981124264 (Tel: 2063230990)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3130 E MADISON ST, SUITE 103, SEATTLE, WA 981124264 (Tel: 2063230990)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TY ETHERIDGE, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DE00008770 in WA)

🟢
Initial NPI Registration & Enumeration April 12, 2007

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: 1720202401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3130 E Madison St, Suite 103

Seattle, WA 981124264

Phone: 2063230990

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.