Jill Tetrick DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JILL TETRICK DDS, PLLC

Practice address

3628 Meridian St Ste 1C
Bellingham, WA 98225-1735

Phone

(360) 734-4374

Fax

(360) 715-9196

NPI assigned

Nov 16, 2017

Last updated

Mar 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill Tetrick, DDSNPI 1003128208

Title

Dentist/Owner

Phone

(360) 734-4374

Specialties & licenses 2

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill Noelle Tetrick, DDS

  • General Practice Dentistry
  • Bellingham, WA
  • NPI 1003128208
  Authorized official Same address or phone
• Lori Lynn Radder, DDS

  • General Practice Dentistry
  • Bellingham, WA
  • NPI 1699081778
  NPD (past)
• Gary M Tetrick, DDS PS

  • General Practice Dentistry
  • Bellingham, WA
  • NPI 1114938313
  NPD (past)
• Richard Day Todd, DDS

  • General Practice Dentistry
  • Bellingham, WA
  • NPI 1225056351
  NPD (past)

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1932613684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 MERIDIAN ST STE 1C",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251735",
            "telephone_number": "360-734-4374",
            "fax_number": "360-715-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 MERIDIAN ST STE 1C",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251735",
            "telephone_number": "360-734-4374",
            "fax_number": "360-715-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL TETRICK DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "TETRICK",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "360-734-4374",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sojeong Jeong, RPH
• Jessica Ardern-Wilson, ND
• Jessica Rogers DDS PS
• Nicole Jeziorski, OD
• Askia Jihad
• Andrew Stevenson Joel Chandranesan, MD
• Marla Johanesen, RN
• Johanna Stulting Counseling PLLC
• Robin E Johansen, RPH
• Leslie Gene Johns-Hill, NP

• General Practice Dentistry in Bellingham, WA
• Providers in Bellingham, 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 Mar 24, 2023; 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.