Fenris Scudder, D.D.S

Dentist · Shelton, WA

Individual Active NPI

NPI number 1053501668

Practice location

3100 SE Old Olympic Hwy
Shelton, WA 98584-7731
Phone
(360) 427-1784
Fax
(360) 427-1818

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NPI record

NPI
1053501668
Entity type
Individual (Type 1)
Enumeration date
July 30, 2007
Last updated
July 30, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DE00007430 WA

About Dr. Scudder

Fenris Scudder, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3100 SE Old Olympic Hwy, Shelton, WA 98584-7731. The NPI number 1053501668 was assigned on July 30, 2007 and the record was last updated on July 30, 2007.

Dr. Scudder lists a license in the registry: #DE00007430 (WA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Fenris Scudder, D.D.S?

The NPI number is 1053501668.

What is the phone number of Dr. Scudder?

The phone number listed for the practice location is (360) 427-1784.

Where is Dr. Scudder located?

3100 SE Old Olympic Hwy, Shelton, WA 98584-7731.

What is the taxonomy code for Dr. Scudder?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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