Jed V. Santiago, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009386 Issued in WA

Legal business name

JED V. SANTIAGO, DDS, PLLC

Practice address

18505 Alderwood Mall Pkwy
Suite D
Lynnwood, WA 98037-8012

Phone

(425) 712-0800

Fax

(425) 670-1125

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jed Val Santiago, D.D.S.

Title

Owner

Phone

(425) 712-0800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1720204266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18505 ALDERWOOD MALL PKWY",
            "address_2": "SUITE D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378012",
            "telephone_number": "425-712-0800",
            "fax_number": "425-670-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18505 ALDERWOOD MALL PKWY",
            "address_2": "SUITE D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378012",
            "telephone_number": "425-712-0800",
            "fax_number": "425-670-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JED V. SANTIAGO, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "VAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-712-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Maxine Jasso-Porter, MA
• Isatou Jatta
• PA Jatta
• Ebrima Jawara, RN
• Muhammed Jawara
• Bridgette Jeffries, PMHNP-BC
• Colbi Renee Jeffries, CDP
• Kelsey Alexandria Jenkins
• Jennifer Kwok O.D., Inc.
• Christopher Jennings, NP

• General Practice Dentistry in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.