# DAVID HENSLEY, D.D.S., P.L.L.C.

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

## Provider details

- **NPI number:** 1487673430
- **Authorized official:** DR. DAVID HENSLEY D.D.S. (PRESIDENT)
- **Authorized official phone:** (253) 922-5401

## Contact information

- **Practice address:** 900 MERIDIAN E, STE. 27, MILTON, WA 98354-7001
- **Practice address phone:** (253) 922-5401
- **Practice address fax:** (253) 926-8048
- **Mailing address:** PO BOX 880, MILTON, WA 98354-0880
- **Mailing address phone:** (253) 922-5401
- **Mailing address fax:** (253) 926-8048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7428 | WA | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 08/22/2020