Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK EDWARD EHLEN, DDS
ActiveJACK EDWARD EHLEN, DDS is a Dentist healthcare provider located in PUYALLUP, Washington. NPI 1356474191 is currently active in the NPPES registry. Verify at CMS.
Dentist · PUYALLUP, WA
Registration Details
- NPI Number
- 1356474191
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2007 (19.421729487582 yrs)
- Last Updated
- Jul 8, 2007
- License
-
6157 (WA)
Practice Information
- Address
-
11208 B 94TH AVE EPUYALLUP, WA, 983733663Browse WA providers · Browse ZIP 98373
- Phone
- 2538484597
- Fax
- 2538417677
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in PUYALLUP, WA
| Name | Credential | NPI |
|---|---|---|
| DR. SAMMY PAK | DDS | 1619075744 |
| DR. MICHAEL W. BAILEY | D.D.S. | 1053480541 |
| DR. STEVEN SCOTT BROUGHTON | DDS PS | 1770656985 |
| DR. ROBERT RAY WIGGINS | DDS | 1417024456 |
| DR. BOB G GOLLAHER SR. | — | 1700947702 |
| DANIEL STEVEN SMITH | DDS | 1245366731 |
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.