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NPI Code Detail

MEDICARE: RICHARD H HWYNN DDS

MEDICARE: RICHARD H HWYNN DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDE00007870WA
2122300000XDentistDE00007870WA

General Provider Information

NPI Number : 1043207715
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD H HWYNN DDS
Provider Business Mailing Address
First Line : 955 POWELL AVE SW
Second Line :
City : RENTON
State : WA
Zip : 98057
Country : US
Telephone Number : 425-277-1311
Fax Number :
Provider Business Practice Location Address
First Line : 33431 13TH PL S
Second Line :
City : FEDERAL WAY
State : WA
Zip : 98003-6357
Country : US
Telephone Number : 253-874-7646
Fax Number : 253-838-8364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2005
Last Update Date : 01/03/2025

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Directions to “ RICHARD H HWYNN DDS” Practice Location

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