Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC

Organization Active NPI Periodontics · Mercer Island, WA

NPI 1164360855 · NPPES record last updated Mar 23, 2026

Key facts

NPI
1164360855
Entity type
Organization (NPI type 2)
Primary specialty
Periodontics 1223P0300X
Legal business name
DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC
Practice address
2737 77TH Ave SE Ste 212
Mercer Island, WA 98040-2832
Phone
(206) 232-0683
NPI assigned
Mar 23, 2026
Organization subpart
No

Authorized official

Name
Jana Johnson
Title
RCM
Phone
(206) 430-2274

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Dkeidek Fernyhough Gile Hagel Nov Quickstad PLLC (24 organizations share this tax ID)

Locations

2737 77th Ave SE
Ste 212
Mercer Island, WA 98040
Phone (206) 232-0683

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics
Group: 193400000X SINGLE SPECIALTY GROUP
1223P0300X Yes

Addresses

Primary practice location

2737 77TH Ave SE Ste 212
Mercer Island, WA 98040-2832

Mailing address

2737 77TH Ave SE Ste 212
Mercer Island, WA 98040-2832
Phone (206) 232-0683

Other providers in Mercer Island, WA

All providers in Mercer Island, WA · Periodontics in Washington

Sources for this page

Verify at the official NPI Registry.