Fenris Scudder is a Shelton, Washington based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Fenris Scudder is DE00007430 for Dentistry in Washington. His current practice location is 3100 Se Old Olympic Hwy, Shelton. Patients can reach him at 360-427-1784.
Fenris Scudder is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Fenris Scudder speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Fenris Scudder
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S
Accepts Medicare Assignment:
No
Practice Address:
3100 Se Old Olympic Hwy, Shelton, Washington, 98584-7731
Phone:
360-427-1784
Fax:
360-427-1818
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1053501668
NPI Enumeration Date:
30 Jul, 2007
NPI Last Update On:
30 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fenris Scudder are as mentioned below.
License Number
Specialization
State
Status
DE00007430
Dentistry
Washington
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Fenris Scudder such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5027990
Other
Washington
DSHS PROVIDER NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3100 Se Old Olympic Hwy, Shelton, Washington
Zip:
98584-7731
Phone Number:
360-427-1784
Fax Number:
360-427-1818
Patients can reach Fenris Scudder at 3100 Se Old Olympic Hwy, Shelton, Washington or can call to book an appointment on 360-427-1784. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.