Jack Edward Ehlen, DDS
Dentist · Puyallup, WA
Practice location
11208 B 94TH Ave EPuyallup, WA 98373-3663
- Phone
- (253) 848-4597
- Fax
- (253) 841-7677
NPI record
- NPI
- 1356474191
- Entity type
- Individual (Type 1)
- Enumeration date
- March 13, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
6157 | WA |
About Dr. Ehlen
Jack Edward Ehlen, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 11208 B 94TH Ave E, Puyallup, WA 98373-3663. The NPI number 1356474191 was assigned on March 13, 2007 and the record was last updated on July 8, 2007.
Dr. Ehlen lists a license in the registry: #6157 (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 Jack Edward Ehlen, DDS?
The NPI number is 1356474191.
What is the phone number of Dr. Ehlen?
The phone number listed for the practice location is (253) 848-4597.
Where is Dr. Ehlen located?
11208 B 94TH Ave E, Puyallup, WA 98373-3663.
What is the taxonomy code for Dr. Ehlen?
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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