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MR. SHAWN MIKEAL FETTIG LD
NPI 1942398524
Denturist in Vancouver, WA

Active since October 10, 2006
2701 NE 114 AVE, #K6, VANCOUVER, WA 98684(360) 892-7107(360) 891-8361 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Shawn Mikeal Fettig Ld NPPES

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

MR. SHAWN MIKEAL FETTIG LD (NPI 1942398524) is an individual denturist in Vancouver, Washington, licensed in Washington (ON00000393) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1942398524
Entity TypeIndividualMale
Primary Taxonomy122400000X
Provider Legal NameMR. SHAWN MIKEAL FETTIGCredential: LD
Location Address2701 NE 114 AVE, #K6Vancouver, WA 98684-4289
Mailing Address2701 Ne 114 Ave, #k6Vancouver, WA 98684-4289 · (360) 892-7107 · Fax (360) 891-8361
Phone(360) 892-7107
Fax(360) 891-8361
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942398524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
License✔ Licensed in WA · ON00000393
Definition
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
2701 NE 114 AVE, Vancouver, WA 98684
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Other Identifiers 1

Medicaid5047576WA

Other Providers at the Same Location NPPES

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

MRS. SARAH R BARBER DDS
Dentist
2701 NE 114 AVE, #K6
VANCOUVER, WA 98684
Clark County (360) 892-7107

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 Shawn Fettig's NPI number?

The NPI number for Shawn Fettig is 1942398524. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Shawn Fettig located?

Shawn Fettig practices at 2701 NE 114 Ave #k6, Vancouver, WA 98684. The listed phone number is (360) 892-7107.

What is Shawn Fettig's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for Shawn Fettig was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.