Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124036686 Individual Practitioner Male Practitioner

Dr. Ethan Shagar Kaufman , DDS

Dentist - General Practice • Longview, WA

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Kaufman, DDS is a registered healthcare professional specializing in Dentist - General Practice in Longview, WA. Practice services are available at 1230 7TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1230 7th Ave

Longview, WA 986323166

Telephone 3605754801
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
28 Specialists

Practicing in Longview, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00008840

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Dr. Albert Luh , MD

Family Medicine

NPI 1033122528

Doctor of Medicine (M.D.)

Dr. Michael Krall , MD

Family Medicine

NPI 1043324262

Doctor of Medicine (M.D.)

NPI 1073526554

Doctor of Optometry

Dr. Barry Jacobson , PhD

Psychologist - Clinical

NPI 1124103551

Doctor of Philosophy (Ph.D.)

Donna Jessen , RDH

Dental Hygienist

NPI 1134231228

Registered Dental Hygienist

Dr. Byron Hanson , MD

Family Medicine

NPI 1144322694

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1230 7TH AVE, LONGVIEW, WA 986323166 (Tel: 3605754801)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1632 24TH AVE, LONGVIEW, WA 986323624 (Tel: 3604236611)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ETHAN KAUFMAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DE00008840 in WA)

🟢
Initial NPI Registration & Enumeration August 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124036686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1632 24th Ave

Longview, WA 986323624

Phone: 3604236611

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.