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JACK EHLEN, DDS & JULIE FULLER, DDS
NPI 1316234735
Dentist - General Practice in Puyallup, WA

Active since July 06, 2011
11208 94TH AVE E, SUITE B, PUYALLUP, WA 98373(253) 848-4597 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Ehlen, Dds & Julie Fuller, Dds NPPES

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

JACK EHLEN, DDS & JULIE FULLER, DDS (NPI 1316234735) is a healthcare organization registered as a general practice in Puyallup, Washington and active in the NPI registry since July 2011. The organization lists Julie Fuller, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1316234735
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEHLEN & FULLER DDS PLLC
Location Address11208 94TH AVE E, SUITE BPuyallup, WA 98373-3663
Mailing Address11208 94th Ave E, Suite BPuyallup, WA 98373-3663 · (253) 848-4597
Phone(253) 848-4597
Organization SubpartNo
Authorized OfficialJulie FullerDentist/owner · (253) 848-4597
Enumeration DateJuly 6, 2011
✔ NPI 1316234735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in WA · DE60100274✔ Licensed in WA · DE00006157
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.
11208 94TH AVE E, Puyallup, WA 98373
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Other Names 1

Doing Business AsJack Ehlen, Dds & Julie Fuller, Dds

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. JULIE S FULLER DDS
Dentist
11208 94TH AVE E
PUYALLUP, WA 98373
Pierce County (253) 848-4597
DR. JONATHAN PERRY ORMISTON D.D.S., M.S.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
11208 94TH AVE E
PUYALLUP, WA 98373
Pierce County (253) 848-3529

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 Ehlen & Fuller Dds PLLC's NPI number?

The NPI number for Ehlen & Fuller Dds PLLC is 1316234735. It was assigned to this organization in the NPPES registry on July 6, 2011. The provider is doing business as Jack Ehlen, Dds & Julie Fuller, Dds.

Where is Ehlen & Fuller Dds PLLC located?

Ehlen & Fuller Dds PLLC is located at 11208 94th Ave E Suite B, Puyallup, WA 98373. The listed phone number is (253) 848-4597.

What is Ehlen & Fuller Dds 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 Ehlen & Fuller Dds PLLC was last updated on July 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.