| Scott Henricksen Dds | |
|
701 N 182nd St # 120 Shoreline WA 98133-4430 | |
| (206) 542-7600 | |
| (206) 542-7727 |
| Full Name | Scott Henricksen Dds |
|---|---|
| Speciality | Dentist |
| Location | 701 N 182nd St # 120, Shoreline, Washington |
| Authorized Official Name and Position | J Scott Henricksen (OWNER DENTIST) |
| Authorized Official Contact | 2065427600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Henricksen Dds 701 N 182nd St # 120 Shoreline WA 98133-4430 Ph: (206) 542-7600 | Scott Henricksen Dds 701 N 182nd St # 120 Shoreline WA 98133-4430 Ph: (206) 542-7600 |
| NPI Number | 1982001988 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 11/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982001988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5431 (Washington) | Primary |
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