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

DR. SAMUEL EDWARD WHISENANT JR., L.D. D.P.D.

Active Sole Proprietor

DR. SAMUEL EDWARD WHISENANT JR., L.D. D.P.D. is a 122400000X healthcare provider located in KENT, Washington. NPI 1679799449 is currently active in the NPPES registry. Verify at CMS.

122400000X · KENT, WA

Registration Details

NPI Number
1679799449
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2007 (19.1429004255 yrs)
Last Updated
Jul 8, 2007
License
DN00000381 (WA)
Sole Proprietor
Yes

Practice Information

Address
25052 104TH AVE SE
SUITE G
KENT, WA, 980306853
Browse WA providers · Browse ZIP 98030
Phone
2538138000
Fax
2538138007
Primary Specialty
122400000X
122400000X

Other 122400000X Providers in KENT, WA

Name Credential NPI
VICTOR R PLAVSKY LD 1619000247
MR. MICHAEL NEIL HOLDEN LD 1801010046
LOLITA GUEVARRA SANTOS DENTURIST 1053679258
MR. JOSHUA LEE WILLIAMS L.D 1679207617
HUDA ALIEDANI 1821706425
HYUN KOOK MOON LD 1083431050
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.