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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARTIN A FERNUNSON, DDS

Active

MARTIN A FERNUNSON, DDS is a Pediatric Dentistry healthcare provider located in BOTHELL, Washington. NPI 1275606303 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · BOTHELL, WA

Registration Details

NPI Number
1275606303
Provider Type
Individual
Gender
Male
NPI Issued
Nov 16, 2006 (19.752612000424 yrs)
Last Updated
Jun 4, 2025
Licenses
DEN00010521 (WA)
DE00010521 (WA)

Practice Information

Address
11511 NE 195TH ST STE 104
BOTHELL, WA, 980115769
Browse WA providers · Browse ZIP 98011
Phone
4254815302
Primary Specialty
Pediatric Dentistry
1223P0700X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in BOTHELL, WA

Name Credential NPI
PAVINEE CHOTIWANNAPORN 1003151606
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.