Jack Edward Ehlen is a Dentist in Puyallup, Washington. Jack Edward Ehlen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jack Edward Ehlen is 1356474191. The last update date is 2007-07-08.
Jack Edward Ehlen's current location address is 11208 B 94th Ave E, Puyallup, Washington. You can contact this provider via phone number 2538484597 and fax number 2538417677. The mailing address for Jack Edward Ehlen is 11208 B 94th Ave E, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Edward Ehlen |
|---|---|
| Address | 11208 B 94th Ave E, Puyallup, Washington |
| Phone Number | 2538484597 |
| Fax Number | 2538417677 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1356474191 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11208 B 94th Ave E |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983733663 |
| Phone Number | 2538484597 |
| Fax Number | 2538417677 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6157 |
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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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What is the unique identification code assigned to Jack Edward Ehlen by the Centers for Medicare & Medicaid Services?
The Jack Edward Ehlen has been issued the NPI (National Provider Identifier) 1356474191. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jack Edward Ehlen?
The Jack Edward Ehlen is physically situated at 11208 B 94Th Ave E, in the city of Puyallup, state of WA, with the postal code 983733663.
What is Jack Edward Ehlen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack Edward Ehlen's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When was the Jack Edward Ehlen's 1356474191 issued?
The Jack Edward Ehlen's 1356474191 was issued on 2007-03-13.
When was the information pertaining to Jack Edward Ehlen most recently updated or revised?
The details related to Jack Edward Ehlen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.