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SHELTON DENTAL CENTER
NPI 1063553014
Dentist - General Practice in Shelton, WA

Active since February 11, 2007
1829 JEFFERSON ST, SHELTON, WA 98584(360) 426-8401(360) 426-1427 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelton Dental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELTON DENTAL CENTER (NPI 1063553014) is a healthcare organization registered as a general practice in Shelton, Washington and active in the NPI registry since February 2007. The organization lists Katherine J. Ketcher, Member, as its authorized official.

NPPES Registry Identity

NPI1063553014
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKETCHERS' DENTAL PLLC
Location Address1829 JEFFERSON STShelton, WA 98584-2004
Mailing Address1829 Jefferson StShelton, WA 98584-2004 · (360) 426-8401 · Fax (360) 426-1427
Phone(360) 426-8401
Fax(360) 426-1427
Organization SubpartNo
Authorized OfficialKatherine J. KetcherMember · (360) 426-8401
Enumeration DateFebruary 11, 2007
Last NPPES UpdateApril 11, 2013
✔ NPI 1063553014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE9709
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1829 JEFFERSON ST, Shelton, WA 98584
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Other Names 1

Doing Business AsShelton Dental Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KETCHER & EDWARDS, PLLC
Dentist (General Practice)
1829 JEFFERSON ST
SHELTON, WA 98584
Mason County (360) 426-8401
LINDSAY NICOLE BUELL
Dentist
1829 JEFFERSON ST
SHELTON, WA 98584
Mason County (360) 426-8401
DR. STEPHEN KYLE EDWARDS DMD
Dentist (General Practice)
1829 JEFFERSON ST
SHELTON, WA 98584
Mason County (360) 426-8401
DR. KATHERINE JO KETCHER DMD
Dentist (General Practice)
1829 JEFFERSON ST
SHELTON, WA 98584
Mason County (360) 426-8401
ASHLEY LYNN KEENEY LMP
Massage Therapist
1829 JEFFERSON ST
SHELTON, WA 98584
Mason County (360) 462-7874

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketchers' Dental PLLC's NPI number?

The NPI number for Ketchers' Dental PLLC is 1063553014. It was assigned to this organization in the NPPES registry on February 11, 2007. The provider is doing business as Shelton Dental Center.

Where is Ketchers' Dental PLLC located?

Ketchers' Dental PLLC is located at 1829 Jefferson St, Shelton, WA 98584. The listed phone number is (360) 426-8401.

What is Ketchers' Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ketchers' Dental PLLC was last updated on April 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.