Doctor profile · Federal record

Dr. Ty Etheridge, D.D.S

General Practice Dentistry · Seattle, WA

  • NPI 1720202401
  • 19 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3130 E Madison St, Suite 103
Seattle, WA 981124264
(206) 323-0990
fax (206) 323-0977

Credentials & registration

NPPES · NUCC
NPI registered
April 2007 — 19 yrs on file
Profile last updated
July 8, 2007
Specialty taxonomy
1223G0001X — NUCC code
State license (1)
Washington #DE00008770

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1720202401. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$220
Transactions
3
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Align Technology, Inc. 3 $220.38

By nature of payment

Food and Beverage
$220

Frequently asked questions

Auto-generated from federal data
What is Dr. Ty Etheridge's medical specialty?
Dr. Ty Etheridge practices General Practice Dentistry in Seattle, WA.
Where does Dr. Ty Etheridge practice?
Dr. Ty Etheridge practices at 3130 E Madison St, Seattle, WA 981124264. Office phone: 2063230990.
What is Dr. Ty Etheridge's NPI?
Dr. Ty Etheridge's National Provider Identifier (NPI) is 1720202401, issued by NPPES.