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Martin Fernunson, DDS — NPI 1275606303, Bothell, WA | NPI Central

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NPI 1275606303

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Martin Fernunson, DDS

NPI 1275606303 · Prosthodontics · Bothell, WA

Provider details

NPI number: 1275606303
Entity type: Individual
Primary specialty: ProsthodonticsDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: DEN00010521 (WA)

Specialties & taxonomies

ProsthodonticsPrimary1223P0700XLicense DE00010521 (WA)
Dental Providers
General Practice Dentistry1223G0001XLicense DEN00010521 (WA)
Dental Providers

Practice location

11511 Ne 195th St Ste 104

Bothell, WA 98011-5769

Phone: (425) 481-5302

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

11511 Ne 195th St Ste 104

Bothell, WA 98011-5769

Registry dates

Enumerated: 2006-11-16
Last updated: 2025-06-04
Certified: 2025-06-04

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