Bret E Shupack is a Dentist in Seattle, Washington. Bret E Shupack practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bret E Shupack is 1871625137. The last update date is 2007-07-08.
Bret E Shupack's current location address is 1331 Harbor Ave Sw, Seattle, Washington. You can contact this provider via phone number 2069339300 and fax number 2069339301. The mailing address for Bret E Shupack is 1331 Harbor Ave Sw, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bret E Shupack |
|---|---|
| Address | 1331 Harbor Ave Sw, Seattle, Washington |
| Phone Number | 2069339300 |
| Fax Number | 2069339301 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1871625137 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1331 Harbor Ave Sw |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 98116 |
| Phone Number | 2069339300 |
| Fax Number | 2069339301 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE00007765 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2684014 | FL | UT ACCT # |
Post Comment/ Review Below
What is the Bret E Shupack's unique identification number?
The Bret E Shupack has been assigned the NPI (National Provider Identifier) Number 1871625137 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Bret E Shupack's facilities are geographically located?
The facilities of Bret E Shupack are physically situated at the following location: 1331 Harbor Ave Sw, Seattle, WA, 98116.
What is the Bret E Shupack's specialty and taxonomy code?
The Bret E Shupack's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did the Bret E Shupack receive its 1871625137?
The Bret E Shupack was issued its 1871625137 on 2007-03-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Bret E Shupack last refreshed?
The information related to the Bret E Shupack, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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