Douglas Guy Wenzen, DDS
Dentist, General Practice in Puyallup, WA. Individual provider (NPI-1).
NPI number1598874166
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1598874166
- Entity type
- Individual (NPI-1)
- Name
- Douglas Guy Wenzen
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DE00005884 | WA | Yes |
Practice location
624 S MeridianPuyallup, WA 98371-5908
Phone 253-845-3301 · Fax 253-840-1803
Mailing address
624 S MeridianPuyallup, WA 98371-5908
Phone 253-845-3301 · Fax 253-840-1803
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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