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

Jack Edward Ehlen, DDS

Individual provider Dentist · NPI 1356474191

Jack Edward Ehlen, DDS is a Dentist in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

11208 B 94th Ave E
Puyallup, WA 98373-3663
Phone: (253) 848-4597
Fax: (253) 841-7677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6157 (WA)

Record details

NPI number1356474191
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 13, 2007
Last updated in NPPESJuly 8, 2007
Mailing address11208 B 94th Ave E, Puyallup, WA 98373-3663

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