Kevin Dean Fedak, DDS
General Practice Dentistry · Lacey, WA
Practice location
5330 Corporate Center Loop SE Ste BLacey, WA 98503-5558
- Phone
- (360) 456-5151
- Fax
- (360) 456-0525
NPI record
- NPI
- 1316058241
- Entity type
- Individual (Type 1)
- Enumeration date
- August 31, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
7514 | WA |
About Dr. Fedak
Kevin Dean Fedak, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5330 Corporate Center Loop SE Ste B, Lacey, WA 98503-5558. The NPI number 1316058241 was assigned on August 31, 2006 and the record was last updated on July 8, 2007.
Dr. Fedak lists a license in the registry: #7514 (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 Kevin Dean Fedak, DDS?
The NPI number is 1316058241.
What is the phone number of Dr. Fedak?
The phone number listed for the practice location is (360) 456-5151.
Where is Dr. Fedak located?
5330 Corporate Center Loop SE Ste B, Lacey, WA 98503-5558.
What is the taxonomy code for Dr. Fedak?
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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