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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THEODORE MARK HENNESSEY, DDS

Active Sole Proprietor

DR. THEODORE MARK HENNESSEY, DDS is a General Dentistry healthcare provider located in FEDERAL WAY, Washington. NPI 1558432666 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FEDERAL WAY, WA

Registration Details

NPI Number
1558432666
Provider Type
Individual
Gender
Male
NPI Issued
Nov 11, 2006 (19.761380976842 yrs)
Last Updated
Jun 21, 2012
License
DE00010589 (WA)
Sole Proprietor
Yes

Practice Information

Address
181 S 333RD ST
SUITE C-100
FEDERAL WAY, WA, 980037363
Browse WA providers · Browse ZIP 98003
Phone
2536616381
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in FEDERAL WAY, WA

Name Credential NPI
DR. ANNABELLE CHOI 1861485567
DR. PAYAL MANU PATEL DMD 1043205354
DR. STACY REED KANDA DDS 1063495174
DR. RICHARD L KOCH DDS 1861475329
DR. THOMAS E. JACKA D.D.S. 1114990462
DR. DON S MOORE D.D.S. 1467416859
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.