Provider Demographics
NPI:1851097224
Name:ANNIKKA FROSTAD-THOMAS DDS PLLC
Entity type:Organization
Organization Name:ANNIKKA FROSTAD-THOMAS DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNIKKA
Authorized Official - Middle Name:FROSTAD-THOMAS
Authorized Official - Last Name:FREELOVE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-651-2626
Mailing Address - Street 1:3014 ISSAQUAH PINE LAKE RD SE STE A
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98075-7253
Mailing Address - Country:US
Mailing Address - Phone:425-651-2626
Mailing Address - Fax:
Practice Address - Street 1:3014 ISSAQUAH PINE LAKE RD SE STE A
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98075-7253
Practice Address - Country:US
Practice Address - Phone:425-281-1823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental