Provider Demographics
NPI:1891009304
Name:VERHOEF, DOUGLAS ROBERT (DDS)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ROBERT
Last Name:VERHOEF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 NW 113TH PL
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-4756
Mailing Address - Country:US
Mailing Address - Phone:206-364-0924
Mailing Address - Fax:206-543-7783
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:DEPT. OF RESTORATIVE DENTISTRY 357456
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-7456
Practice Address - Country:US
Practice Address - Phone:206-543-5948
Practice Address - Fax:206-543-7783
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 000044091223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics