DR. ANDREW J TELLINGTON (NPI# 1174717524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174717524 |
| Entity Type | Individual |
| Full Name | DR. ANDREW J TELLINGTON |
| Credential | D.M.D |
| Practice Address |
3866 S 74th St Ste 200 Tacoma WA 98409-9908 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 8554336825 |
| Mailing Telephone | 8554336825 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2020-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
D4095 | ID | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DE60426234 | WA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 34800 Bob Wilson Dr, San Diego, CA 921341098 | 6195328600 | |
| 3773 Martin Way E Ste C105, Olympia, WA 985065048 | 8554336825 | |
| 4550 3rd Ave Se, Lacey, WA 985031033 | 8554336825 |
| Street Address |
3866 S 74TH ST STE 200 |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-9908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518051028 | Anthony S Nguyen | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2006-10-02 |
| 1760033955 | Kim-quy Nguyen | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409 | 2019-09-27 |
| 1871155267 | Anthony Ho | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2019-07-05 |
| 1174001697 | Madisyn Kamele Harding | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2018-08-06 |
| 1417446253 | Nicole Marcella Ters Shearer | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2018-05-08 |
| 1336669399 | Sophie Christine Prellwitz | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2017-06-21 |
| 1851784847 | Tim Hung | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2015-03-14 |
| 1689009060 | Crystal Vargas | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2013-09-04 |
| 1952743403 | Jordan M Buhr | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2013-07-25 |
| 1265760474 | John Woongjoon Park | Dentist | 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 | 2009-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| Find all providers in zip 98409 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225437619 | Tacoma Oral Surgery & Implants | Dentist | 1550 S Union Ave Ste 250, Tacoma, WA 98405-1946 | 2014-08-21 |
| 1366520207 | Andrew A. Vorono, D.d.s., PC | Dentist | 1950 S Cedar St Ste C, Tacoma, WA 98405-2315 | 2006-11-01 |
| 1083670780 | Mark David Carlson | Dentist | 1550 South Union Avenue, Suite 250, Tacoma, WA 98405-1946 | 2006-04-22 |
| 1336148881 | Jerry Lee Hartman | Dentist | 217 Tulalip St Ne, Tacoma, WA 98422-1644 | 2005-07-18 |
| 1811994189 | Andrew Anthony Vorono | Dentist | 1950 S Cedar St, Ste C, Tacoma, WA 98405-2315 | 2005-07-01 |
| 1326464215 | Larry Kuxhausen | Dentist | 3866 S 74th St, Suite 200, Tacoma, WA 98409-1045 | 2014-03-15 |
| 1801039144 | Calley Christie | Dentist | 3602 6th Ave Ste 104, Tacoma, WA 98406-5450 | 2009-04-16 |
| 1669512661 | Manuel J La Rosa | Dentist | 1628 S Mildred St, Suite 210, Tacoma, WA 98465-1627 | 2007-02-07 |
| 1417012436 | Jerre M Griffin | Dentist | 5401 6th Ave, Suite 201, Tacoma, WA 98406 | 2006-12-27 |
| 1396815221 | Sound Oral & Maxillofacial Surgery | Dentist | 1628 S Mildred St, Suite 210, Tacoma, WA 98465-1627 | 2006-11-08 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.