R Scott Puhn DDS PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

R SCOTT PUHN DDS PS

Practice address

20730 Bond Rd NE
Suite 202B
Poulsbo, WA 98370

Phone

(360) 779-9090

Fax

(360) 779-9106

NPI assigned

Nov 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Randal Scott Puhn, DDS DOCTOR OF DENTAL

Title

Dentist

Phone

(360) 779-9090

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376613000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20730 BOND RD NE",
            "address_2": "SUITE 202B",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "98370",
            "telephone_number": "360-779-9090",
            "fax_number": "360-779-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20730 BOND RD NE",
            "address_2": "SUITE 202B",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "98370",
            "telephone_number": "360-779-9090",
            "fax_number": "360-779-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R SCOTT PUHN DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUHN",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-779-9090",
        "authorized_official_credential": "DDS DOCTOR OF DENTAL"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5517909",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "836940",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "94276",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WDS",
            "identifier": "5027",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kim Kevin Pulver, DDS
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• Amanda Qvigstad
• R.S. Puhn, D.D.S., P.L.L.C.
• Benjamin Michael Radack, D.P.T.
• Scott Radetski, LMHCA, M-DIV
• Jamie P Radner, LIC. AC.
• Rachel Ramey

• General Practice Dentistry in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.