Individual provider · Type 1 NPI

Jack Edward Ehlen, DDS

Dentist · Puyallup, WA

NPI number 1356474191 Active

Practice location

11208 B 94th Ave E
Puyallup, WA 98373-3663

Fax (253) 841-7677

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X6157 (WA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1356474191

Jack Edward Ehlen, DDS's National Provider Identifier is 1356474191, issued on Mar 13, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Puyallup, WA. The record was last updated on Jul 8, 2007.