DR. SAMUEL EDWARD WHISENANT JR. (NPI# 1679799449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679799449 |
Entity Type | Individual |
Full Name | DR. SAMUEL EDWARD WHISENANT JR. |
Credential | L.D. D.P.D. |
Practice Address |
25052 104th Ave Se Suite G Kent WA 98030-6853 |
Practice Telephone | 2538138000 |
Practice Fax Number | 2538138007 |
Mailing Telephone | 2538138000 |
Mailing Fax Number | 2538138007 |
Enumeration Date | 2007-04-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122400000X | Denturist | DN00000381 | WA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | PROVIDER | 5047857 | 01 |
Street Address |
25052 104TH AVE SE SUITE G |
City | KENT |
State | WA |
Zip Code | 98030-6853 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508859810 | Gary Keith Cowart | Dentist | 25052 104th Ave Se, Suite C, Kent, WA 98030-6853 | 2005-08-23 |
1770736381 | Cowart & Reed, LLC | Dentist | 25052 104th Ave Se, Suite C, Kent, WA 98030-6853 | 2008-10-28 |
1083792139 | Richard Carl Hagemeier | Dentist | 25052 104th Ave Se, Suite E, Kent, WA 98030-6853 | 2006-11-02 |
1386637494 | Joshua Keith Cowart | Dentist | 25052 104th Ave Se, Suite C, Kent, WA 98030-6853 | 2005-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
1659801256 | Mitra Lal Dhital | Counselor | 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 | 2017-06-15 |
1952838658 | Elizabeth Burson | Registered Nurse | 25742 104th Avenue Se, Kent, WA 98030 | 2017-05-12 |
Find all providers in zip 98030 |
Taxonomy Code | 122400000X |
Grouping | Dental Providers |
Classification | Denturist |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801010046 | Michael Neil Holden | Denturist | 25052 104th Ave Se Ste G, Kent, WA 98030-6853 | 2007-04-12 |
1619000247 | Victor R Plavsky | Denturist | 24610 36th Ave S, Kent, WA 98032-1520 | 2007-03-13 |
1053679258 | Lolita Guevarra Santos | Denturist | 9735 S 222nd St, Kent, WA 98031-2410 | 2012-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427689421 | Tri-cities Denture Studio Pllc | Denturist | 3909 Creekside Loop Ste 110, Yakima, WA 98902-4880 | 2020-01-29 |
1447894811 | Michael Hu | Denturist | 430 N West Ave Ste 3, Arlington, WA 98223-1539 | 2019-10-29 |
1265999494 | Sagebrush Dental LLC | Denturist | 1114 N Mission St Ste C, Wenatchee, WA 98801-6711 | 2019-02-24 |
1295299113 | Stephanie Jean Hemenway | Denturist | 209 W Main Ave., Morton, WA 98356 | 2019-01-24 |
1538633664 | Trang Phung | Denturist | 1242 State Ave Ste G, Marysville, WA 98270-3672 | 2019-01-11 |
1053884338 | Juan Edward Berlanga | Denturist | 654 N Rochester St, Tacoma, WA 98406-1724 | 2019-01-09 |
1346713765 | Cody M Dunivin | Denturist | 129 Valley Meadows Dr, Chehalis, WA 98532-8652 | 2019-01-08 |
1841765682 | Andrew Payne | Denturist | 714 N Chelan Ave, Wenatchee, WA 98801-2069 | 2018-10-08 |
1154811982 | Jayson Allen Laney | Denturist | 4001 Colby Ave Ste 2, Everett, WA 98201-6208 | 2018-05-17 |
1932697117 | Jason Lee Alsbury | Denturist | 1715 W Kennewick Ave, Kennewick, WA 99336-3378 | 2018-04-24 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. SAMUEL EDWARD WHISENANT JR..
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.