NPI 1679799449

Samuel Edward Whisenant, LDDPD

Practitioner Denturist Kent, WA

Practice location

Address: 25052 104th Ave SE Suite G, Kent, WA 98030-6853
Phone: (253) 813-8000
Fax: (253) 813-8007

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DN00000381 (WA)

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Registry record

NPI: 1679799449
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.