Samuel Whisenant, L.D. D.P.D

NPI 1679799449 · on the registry since 2007 · sole proprietor

Practice

Address: 25052 104th Ave Se
Suite G
Kent, WA 98030
Phone: (253) 813-8000
Fax: (253) 813-8007
Organisation at this address: Cowart & Reed, Llc
Bryan Shin, Dds, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Denturist
122400000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington