KEN M. SHOU DDS INC (NPI# 1073835195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073835195 |
| Entity Type | Organization |
| Organization Name | KEN M. SHOU DDS INC |
| Other Organization Name | SURPRISE LAKE DENTAL |
| Practice Address |
900 Meridian E Ste 27 Ste.27 Milton WA 98354-7003 |
| Practice Telephone | 2539225401 |
| Practice Fax Number | 2539268048 |
| Mailing Telephone | 2539225401 |
| Mailing Fax Number | 2539268048 |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |
| Authorized Official Name | DR. KEN M SHOU (PRESIDENT) |
| Authorized Official Telephone | 2539225401 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Surprise Lake Dental | Doing Business As Name - Organization |
| Street Address |
900 MERIDIAN E STE 27 STE.27 |
| City | MILTON |
| State | WA |
| Zip Code | 98354-7003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427682616 | Heather Church | Massage Therapist | 724 Meridian Ave #1, Milton, WA 98354 | 2020-02-26 |
| 1134769839 | Chidimma Okoye | Registered Nurse | 7224 Pacific High Way E, Milton, WA 98354 | 2020-01-10 |
| 1811536717 | Mark Hennecken | Licensed Practical Nurse | 7224 Pacific Hwy E., Milton, WA 98354 | 2019-12-26 |
| 1609418672 | Erin Kim Lorentzen | Counselor | 7224 Pacific Hwy E, Milton, WA 98354 | 2019-10-11 |
| 1598306243 | Kelly Jean Murray | Counselor | 7224 Pacific Hwy East, Milton, WA 98354 | 2019-10-03 |
| 1578025359 | Kiet Do | Counselor | 7224 Pacific Hwy. E, Milton, WA 98354 | 2019-04-02 |
| 1568936557 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 7224 Pacific Highway East, Milton, WA 98354 | 2019-01-14 |
| 1194178418 | Bryan Vaught | Occupational Therapy Assistant | 2830 Queens Way, Apt E1, Milton, WA 98354 | 2016-07-21 |
| 1730485459 | Barbara Lyn Bishop | Mechanotherapist | 2411 14th Avenue, Milton, WA 98354 | 2011-01-27 |
| 1669774865 | Ha T Hoang | Pharmacist | 900 East Meridian, Milton, WA 98354 | 2010-11-22 |
| Find all providers in zip 98354 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271094 | Patrick Mclaughlin | Dentist | 26 Quail Hollow Dr, Milton, VT 05468-3578 | 2020-06-30 |
| 1326417569 | Seaport Dental Associates, LLC | Dentist | 588 Randolph Ave, Milton, MA 02186-4524 | 2015-09-17 |
| 1053797332 | Joshua Freitag | Dentist | 585 Hickory Mill Ln, Milton, GA 30004-4407 | 2015-08-10 |
| 1205236122 | Olga Krasnoslobodtseva | Dentist | 398 Blue Hills Pkwy, Milton, MA 02186-2738 | 2014-08-27 |
| 1578988697 | Heartland Dental Care of Georgia, P.C. | Dentist | 12988 Georgia Highway 9, Milton, GA 30004 | 2014-02-26 |
| 1427493378 | Florida Dental, Pa | Dentist | 4873 Highway 90 Ste A, Milton, FL 32571-1401 | 2013-05-06 |
| 1205196870 | Milton Pediatric Dentistry and Orthodontics Corp | Dentist | 980 Birmingham Rd Ste 507, Milton, GA 30004-4418 | 2012-05-17 |
| 1629385273 | Sylvia M Riley | Dentist | 12765 Morningpark Cir, Milton, GA 30004-7328 | 2010-09-02 |
| 1023337094 | Justin Weitseng Chong | Dentist | 13075 Highway 9 N Ste 110, Milton, GA 30004-5147 | 2010-05-28 |
| 1568638740 | Theodore Francis Sykora | Dentist | 649 College St, Milton, WI 53563-1515 | 2008-05-07 |
| Find all providers in MILTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.