IndividualActive
Adam Fettig, DMD
NPI 1417047549 · Oral and Maxillofacial Pathology Dentistry · Kirkland, WA
Provider details
- NPI number
- 1417047549
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 8743 (WA)
Practice location
12330 120th Ave Ne
Kirkland, WA 98034-6926
Phone: (425) 821-7979
Fax: (425) 821-0500
Mailing address
12330 120th Ave Ne
Kirkland, WA 98034-6926
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.