Jonathan Tarleton, DDS, MSD

Periodontics · Kenmore, WA

Individual Active NPI

NPI number 1710267075

Practice location

5723 NE Bothell Way Ste C
Kenmore, WA 98028
Phone
(425) 486-9111
Fax
(425) 489-1923

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NPI record

NPI
1710267075
Entity type
Individual (Type 1)
Enumeration date
August 18, 2011
Last updated
December 15, 2025
Certified
December 15, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X DE60455178 WA
Dentist 122300000X 019028835 IL

Mailing address

5723 NE Bothell Way Ste C
Kenmore, WA 98028-9404
Phone
(425) 486-9111
Fax
(425) 489-1923

About Dr. Tarleton

Jonathan Tarleton, DDS, MSD is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 5723 NE Bothell Way Ste C, Kenmore, WA 98028. The NPI number 1710267075 was assigned on August 18, 2011 and the record was last updated on December 15, 2025.

Dr. Tarleton lists 2 licenses in the registry: #DE60455178 (WA) for Periodontics; #019028835 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Tarleton, DDS, MSD?

The NPI number is 1710267075.

What is the phone number of Dr. Tarleton?

The phone number listed for the practice location is (425) 486-9111.

Where is Dr. Tarleton located?

5723 NE Bothell Way Ste C, Kenmore, WA 98028.

What is the taxonomy code for Dr. Tarleton?

The primary taxonomy code is 1223P0300X – Periodontics; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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