Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN DEAN FEDAK, DDS
Active Sole ProprietorDR. KEVIN DEAN FEDAK, DDS is a General Dentistry healthcare provider located in LACEY, Washington. NPI 1316058241 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LACEY, WA
Registration Details
- NPI Number
- 1316058241
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.927473307114 yrs)
- Last Updated
- Jul 8, 2007
- License
-
7514 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5330 CORPORATE CENTER LOOP SE STE BLACEY, WA, 985035558Browse WA providers · Browse ZIP 98503
- Phone
- 3604565151
- Fax
- 3604560525
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in LACEY, WA
| Name | Credential | NPI |
|---|---|---|
| DR. HAROLD C WATSON JR. | DDS | 1578663282 |
| DR. RAYMOND CLYDE WINTERS | D.D.S. | 1679667760 |
| MRS. TAMMY M ECKART | DMD | 1194811844 |
| DR. JERRY R GIDDINGS | D.D.S. | 1497837710 |
| DR. THOMAS J HERRICK | DDS | 1992880504 |
| DR. HERBERT E TODD | DDS | 1134298805 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.