GRAIG ERICKSON, D.D.S., M.S.D., PLLC (NPI# 1649674706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649674706 |
| Entity Type | Organization |
| Organization Name | GRAIG ERICKSON, D.D.S., M.S.D., PLLC |
| Other Organization Name | SKY RIDGE PERIODONTICS |
| Practice Address |
10814 19th Ave Se Everett WA 98208-5153 |
| Practice Telephone | 4253374734 |
| Enumeration Date | 2014-10-18 |
| Last Update Date | 2014-10-18 |
| Authorized Official Name | DR. GRAIG ERICKSON (PERIODONTIST) |
| Authorized Official Telephone | 4253374734 |
| Authorized Official Credential | DDS, MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Sky Ridge Periodontics | Doing Business As Name - Organization |
| Street Address |
10814 19TH AVE SE |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932235116 | Salvatore Anthony Leone | Dentist | 10814 19th Ave Se, Everett, WA 98208-5153 | 2007-02-24 |
| 1265787287 | Graig Erickson | Dentist | 10814 19th Ave Se, Everett, WA 98208-5153 | 2012-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932235116 | Salvatore Anthony Leone | Dentist | 10814 19th Ave Se, Everett, WA 98208-5153 | 2007-02-24 |
| 1093872541 | Gerald R. Grasso Dmd,pc | Dentist | 816 Broadway, Everett, MA 02149-3026 | 2007-01-03 |
| 1689659245 | Peter D. Agnos | Dentist | 931 Pacific Ave, Everett, WA 98201-4146 | 2005-12-07 |
| 1265787287 | Graig Erickson | Dentist | 10814 19th Ave Se, Everett, WA 98208-5153 | 2012-07-16 |
| 1497916217 | Gerald R Grasso | Dentist | 816 Broadway, Everett, MA 02149-3026 | 2008-06-24 |
| 1366624629 | Pamela A Nicoara Dds Msd Pllc | Dentist | 3125 Colby Ave, Suite H, Everett, WA 98201-4032 | 2007-11-28 |
| 1962614719 | Pamela Adrienne Nicoara | Dentist | 3125 Colby Ave, Suite H, Everett, WA 98201-4032 | 2007-05-04 |
| 1497840714 | Janet Marie Miesel | Dentist | 10515 20th St Se Ste 201, Everett, WA 98205-2035 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653397 | Rika Takada | Dentist | B403 Health Sciences Building, Seattle, WA 98195-0001 | 2020-06-14 |
| 1467074757 | Amit Srikant Gharpure | Dentist | 1959 Ne Pacific Street Health Science Center Room B-403, Seattle, WA 98195-0001 | 2020-05-10 |
| 1922632843 | Jessica Hsu | Dentist | 625 4th Ave Ste 201, Kirkland, WA 98033-9028 | 2020-02-29 |
| 1992338891 | Ehsan Zahedi | Dentist | 18009 Highway 99 Ste F, Lynnwood, WA 98037-4499 | 2020-02-19 |
| 1780142729 | Shoko Sato | Dentist | 2505 S 320th St Ste 330, Federal Way, WA 98003-5461 | 2019-03-08 |
| 1942738497 | Yu Lwo | Dentist | 1740 Nw Maple St Ste 110, Issaquah, WA 98027-8000 | 2017-05-30 |
| 1134677792 | Mill Creek Implants & Periodontics | Dentist | 15130 Main St Ste 210, Mill Creek, WA 98012-7370 | 2016-09-13 |
| 1164890026 | Shih-chung Liao | Dentist | 720 Olive Way Ste 810, Seattle, WA 98101-1836 | 2015-09-09 |
| 1225445539 | Implant & Periodontic Specialists | Dentist | 1418 112th Ave Ne Suite 100, Bellevue, WA 98004 | 2014-07-18 |
| 1093147068 | Etheridge Family Dentistry | Dentist | 3130 E Madison St Ste 103, Seattle, WA 98112-4221 | 2013-08-01 |
| Find all providers with the same taxonomy | ||||
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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.