# R SCOTT PUHN DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376613000
- **Authorized official:** RANDAL SCOTT PUHN DDS DOCTOR OF DENTAL (DENTIST)
- **Authorized official phone:** (360) 779-9090

## Contact information

- **Practice address:** 20730 BOND RD NE, SUITE 202B, POULSBO, WA 98370
- **Practice address phone:** (360) 779-9090
- **Practice address fax:** (360) 779-9106
- **Mailing address:** 20730 BOND RD NE, SUITE 202B, POULSBO, WA 98370
- **Mailing address phone:** (360) 779-9090
- **Mailing address fax:** (360) 779-9106

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5027 | WDS | WA |
| 05 | — | 5517909 | — | WA |
| 01 | — | 836940 | UNITED CONCORDIA | WA |
| 01 | — | 94276 | DELTA DENTAL | WA |