Stephanie Jean Hemenway, L.D.
Individual provider Active NPI Denturist · Morton, WA
NPI 1295299113 · NPPES record last updated Jan 24, 2019
Key facts
- NPI
- 1295299113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Denturist 122400000X
- License
- DN60153160 (WA)
- Practice address
- 209 W Main Ave.
Morton, WA 98356 - Phone
- (360) 496-6196
- Fax
- (360) 496-5457
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN60153160 | WA | MD | Denturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Era Denture Service | Denturist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | DN60153160 | WA | Yes |
Addresses
Primary practice location
209 W Main Ave.
Morton, WA 98356
Mailing address
PO Box 22
Morton, WA 98356
Phone (360) 496-6196
Other providers in Morton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.