Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Samuel Edward Whisenant Jr., LDDPD

Individual provider Denturist · NPI 1679799449

Dr. Samuel Edward Whisenant Jr., LDDPD is a Denturist in Kent, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

25052 104th Ave SE Ste G
Kent, WA 98030-6853
Phone: (253) 813-8000
Fax: (253) 813-8007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Denturist (primary) Taxonomy 122400000X · Licence DN00000381 (WA)

Record details

NPI number1679799449
Entity typeIndividual (Type 1)
GenderMale
Credentials LDDPD
Sole proprietorYes
NPI enumeratedApril 18, 2007
Last updated in NPPESJuly 8, 2007

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