Enneking, Debra M.
Enneking, Debra M. is an individual health care provider with primary practice located at 6504 Wollochet Drive Nw , Gig Harbor WA 98335. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Enneking, Debra M. can be contacted via phone (253) 858-5869.Contact Information
Primary practice address
6504 Wollochet Drive Nw
Gig Harbor WA 98335
Phone: (253) 858-5869
Fax: (253) 858-5849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7066 | Washington |
Profile Details
| NPI number | 1497819908 |
|---|---|
| LBN Legal business name | Enneking, Debra M. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Aug 13th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497819908 | NPPES |
| Washington | Other | 57066 | WASHINGTON DENTAL SERVICE |
| Washington | Other | 896356 | WASHINGTON DENTAL SERVICE |
| Washington | Other | 5017397 | WASHINGTON DENTAL SERVICE |
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