Samuel Edward Whisenant in Kent - Denturist

Samuel Edward Whisenant - NPI 1679799449

Samuel Edward Whisenant is a Denturist in Kent, Washington. Samuel Edward Whisenant practices all healthcare services and medical treatments related to Denturist. The NPI Number for Samuel Edward Whisenant is 1679799449. The last update date is 2007-07-08.

Samuel Edward Whisenant's current location address is 25052 104th Ave Se, Kent, Washington. You can contact this provider via phone number 2538138000 and fax number 2538138007. The mailing address for Samuel Edward Whisenant is 25052 104th Ave Se, Kent, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel Edward Whisenant
Address 25052 104th Ave Se, Kent, Washington
Phone Number 2538138000
Fax Number 2538138007
Sole Proprietor Y
Credentials L.D. D.P.D

NPI Number Detail

NPI Number 1679799449
Provider Enumeration Date 2007-04-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 25052 104th Ave Se
City Kent
State Washington (WA)
Post Code 980306853
Phone Number 2538138000
Fax Number 2538138007

Provider's Primary Taxonomy Detail

Speciality Denturist
Taxonomy 122400000X
Licence No DN00000381
Definition:
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5047857 WA PROVIDER

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FAQs about Samuel Edward Whisenant

What is the unique identification code assigned to Samuel Edward Whisenant by the Centers for Medicare & Medicaid Services?

The Samuel Edward Whisenant has been issued the NPI (National Provider Identifier) 1679799449. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Samuel Edward Whisenant's facilities are situated?

The facilities of Samuel Edward Whisenant are physically located at the following address: 25052 104Th Ave Se, Kent, WA, 980306853.

What is the Samuel Edward Whisenant's area of specialization and corresponding taxonomy classification?

The Samuel Edward Whisenant's specialty field is Denturist, and it falls under the taxonomy code 122400000X, which categorizes healthcare providers based on their specialties.

On what date was the 1679799449 assigned to Samuel Edward Whisenant?

The Samuel Edward Whisenant was issued its 1679799449 on 2007-04-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Samuel Edward Whisenant's information last updated?

The Samuel Edward Whisenant's information was last updated on 2007-07-08.

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