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NPI 1083638985

IndividualActive

Andrea Fonner, DDS

NPI 1083638985 · Dental Anesthesiology · Newcastle, WA

Provider details

NPI number: 1083638985
Entity type: Individual
Primary specialty: Dental AnesthesiologyDental Providers
Credential: DDS
Sex: Female
Sole proprietor: No
License: 10015 (WA)

Practice location

12045 Se 76th St

Newcastle, WA 98056-1776

Phone: (206) 579-5163

More WA providers

Mailing address

12045 Se 76th St

Newcastle, WA 98056-1776

Registry dates

Enumerated: 2006-07-26
Last updated: 2026-04-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Andrea Fonner, DDS — NPI 1083638985, Newcastle, WA | NPI Central