DR. TIMOTHY GERALD HARDTKE (NPI# 1548389422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548389422 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY GERALD HARDTKE |
| Credential | DDS |
| Practice Address |
2222 Meridian Ave E Suite C Edgewood WA 98371-1032 |
| Practice Telephone | 2539526112 |
| Practice Fax Number | 2539278770 |
| Mailing Telephone | 2539526112 |
| Mailing Fax Number | 2539278770 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5355 | WA | Dental Providers |
| Street Address |
2222 MERIDIAN AVE E SUITE C |
| City | EDGEWOOD |
| State | WA |
| Zip Code | 98371-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
| 1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
| 1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
| 1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
| 1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
| 1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
| Find all providers in zip 98371 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712797 | Dan Roberts, Dmd, Pllc | Dentist | 2603 110th Ave E, Edgewood, WA 98372-1846 | 2019-10-22 |
| 1740775022 | Zachcurriedds LLC | Dentist | 1851 Old Us 66 Ste C, Edgewood, NM 87015-6784 | 2018-06-28 |
| 1669885398 | Cory Matthew Middendorf | Dentist | 155 Barnwood Drive, Suite 1, Edgewood, KY 41017 | 2014-06-10 |
| 1942328364 | Peter Hamilton Roth | Dentist | 1308 Business Center Way, Suite 105, Edgewood, MD 21040-1504 | 2007-03-26 |
| 1396870861 | Stephen L Harrington | Dentist | 1851 Old Hwy 66, Suite C, Edgewood, NM 87015 | 2007-02-23 |
| 1609901172 | Suzanne Mcginty | Dentist | 1917 Old Hwy 66, St. A, Edgewood, NM 87015 | 2007-02-23 |
| 1205971082 | Kevin Robert Mcmahon | Dentist | 155 Barnwood Dr, Suite 1, Edgewood, KY 41017-2585 | 2007-02-20 |
| 1194736363 | Keavin G Mcintosh | Dentist | 2511 Meridian Ave E, Edgewood, WA 98371-2164 | 2006-08-11 |
| 1225052582 | Sharon Elaine Reynolds Lundgren | Dentist | 2104 Trimble Rd, Edgewood, MD 21040-3119 | 2006-07-27 |
| 1316917495 | Edgewood Family Dentistry | Dentist | 1917 Old Highway 66, Edgewood, NM 87015-0000 | 2006-01-23 |
| Find all providers in EDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.