# SEAN M COUCH DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kingston Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346677630
- **Authorized official:** MR. SEAN M COUCH D.D.S. (PRESIDENT)
- **Authorized official phone:** (360) 297-2298

## Contact information

- **Practice address:** 25985 BARBER CUT OFF RD NE, SUITE B2, KINGSTON, WA 98346-9596
- **Practice address phone:** (360) 297-2298
- **Practice address fax:** (360) 297-8445
- **Mailing address:** 25985 BARBER CUT OFF RD NE, SUITE B2, KINGSTON, WA 98346-9596
- **Mailing address phone:** (360) 297-2298
- **Mailing address fax:** (360) 297-8445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00009374 | WA | Yes |

## Other

- **Enumeration date:** 10/01/2013
- **Last updated:** 10/01/2013