SURPRISE LAKE DENTAL
NPI 1073835195
Dentist - General Practice in Milton, WA

Active since February 16, 2010
900 MERIDIAN E STE 27, STE.27, MILTON, WA 98354(253) 922-5401(253) 926-8048 Get Directions Write a Review

NPPES record last updated: February 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Surprise Lake Dental NPPES

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

SURPRISE LAKE DENTAL (NPI 1073835195) is a healthcare organization registered as a general practice in Milton, Washington and active in the NPI registry since February 2010. The organization lists Ken M Shou, President, as its authorized official.

NPPES Registry Identity

NPI1073835195
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKEN M. SHOU DDS INC
Location Address900 MERIDIAN E STE 27, STE.27Milton, WA 98354-7003
Mailing Address900 Meridian E Ste 27, Ste.27Milton, WA 98354-7003 · (253) 922-5401 · Fax (253) 926-8048
Fax(253) 926-8048
Organization SubpartNo
Authorized OfficialKen M ShouPresident · (253) 922-5401
Enumeration DateFebruary 16, 2010
NPI 1073835195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

900 MERIDIAN E STE 27, Milton, WA 98354

Other Names 1

Doing Business AsSurprise Lake Dental

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
900 MERIDIAN E STE 27
MILTON, WA 98354

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073835195, enumerated as an "organization" on February 16, 2010.

The provider is located at 900 MERIDIAN E STE 27 STE.27 MILTON, WA 98354 and the phone number is (253) 922-5401.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.