Ethan Shagar Kaufman, DDS

General Practice Dentistry · Longview, WA

Individual Active NPI

NPI number 1124036686

Practice location

1230 7TH Ave
Longview, WA 98632-3166
Phone
(360) 575-4801

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NPI record

NPI
1124036686
Entity type
Individual (Type 1)
Enumeration date
August 3, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE00008840 WA

Mailing address

1632 24TH Ave
Longview, WA 98632-3624
Phone
(360) 423-6611

About Dr. Kaufman

Ethan Shagar Kaufman, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1230 7TH Ave, Longview, WA 98632-3166. The NPI number 1124036686 was assigned on August 3, 2006 and the record was last updated on July 8, 2007.

Dr. Kaufman lists a license in the registry: #DE00008840 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ethan Shagar Kaufman, DDS?

The NPI number is 1124036686.

What is the phone number of Dr. Kaufman?

The phone number listed for the practice location is (360) 575-4801.

Where is Dr. Kaufman located?

1230 7TH Ave, Longview, WA 98632-3166.

What is the taxonomy code for Dr. Kaufman?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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