D. Hensley, DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

D. HENSLEY, DDS PLLC

Doing business as

Surprise Lake Smiles

Practice address

900 Meridian E
Ste 27
Milton, WA 98354-7001

Phone

(253) 922-5401

NPI assigned

Oct 30, 2009

Last updated

Oct 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Hensley, DDSNPI 1063622389

Title

President

Phone

(253) 922-5401

Specialties & licenses 1

Addresses

Other names 1

• SURPRISE LAKE SMILES Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Hensley, D.D.S.

  • Dentist
  • Milton, WA
  • NPI 1063622389
  Authorized official Same address or phone

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1548596240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MERIDIAN E",
            "address_2": "STE 27",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983547001",
            "telephone_number": "253-922-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MERIDIAN E",
            "address_2": "STE 27",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983547001",
            "telephone_number": "253-922-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. HENSLEY, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-922-5401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SURPRISE LAKE SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Church
• Jennifer Kathleen Clancy, RN
• Taylor Rayne Clontz, RN
• Richard M Conant, L.AC.
• Julie Curtis
• David Hensley, D.D.S., P.L.L.C. (Surprise Lake Dental)
• Adrienne Davio
• Chelsea Taylor Dewalt, OD
• Rex Gwynn Dickson, RPH
• Ellery Ryder Dixon, STUDENT PHARMACIST

• Dental Clinic/Center in Milton, WA
• Providers in Milton, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.