Dr. J Scott Henricksen, DDS
Dentist in Shoreline, WA. Individual provider (NPI-1).
NPI number1356458293
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1356458293
- Entity type
- Individual (NPI-1)
- Name
- Dr. J Scott Henricksen
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 5431 | WA | Yes |
Practice location
701 N 182nd StSuite 102
Shoreline, WA 98133-4402
Phone 206-542-7600 · Fax 206-542-7727
Mailing address
701 N 182nd StSuite 102
Shoreline, WA 98133-4402
Phone 206-542-7600 · Fax 206-542-7727
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