Mark a. Freeman Jeffrey a. Short PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

MARK A. FREEMAN JEFFREY A. SHORT PLLC

Practice address

509 Olive Way Ste 1511
Seattle, WA 98101-1749

Phone

(206) 621-9730

Fax

(206) 621-7053

NPI assigned

Nov 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark A Freeman, D.D.S, M.S.D.NPI 1720165137

Title

Owner

Phone

(206) 621-9730

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A Freeman, D.D.S, M.S.D

  • Endodontics
  • Seattle, WA
  • NPI 1720165137
  NPD (past) Authorized official
• Lynnetta Jeanne Odell, D.M.D.

  • Endodontics
  • Seattle, WA
  • NPI 1013094390
  NPD (past)
• Jeffrey A. Short, D.D.S.

  • Endodontics
  • Seattle, WA
  • NPI 1790862159
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174600464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1511",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011749",
            "telephone_number": "206-621-9730",
            "fax_number": "206-621-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1511",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011749",
            "telephone_number": "206-621-9730",
            "fax_number": "206-621-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. FREEMAN JEFFREY A. SHORT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-621-9730",
        "authorized_official_credential": "D.D.S, M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason E Maris, PA
• Kimberly Tanya Maris, PA-C
• Nathan Lee Maris, MD
• Marissa Ohlstrom, PSYD, PLLC
• David Mariuma, M.D.
• Mark C Svore DDS
• Mark David Balter OD, PS
• Mark Ellestad, MD - Psychiatric Services, PLLC
• Mark Germack DDS PLLC
• Mark R McClung MD PC

• Endodontics in Seattle, WA
• Providers in Seattle, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.