Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053501668 Individual Practitioner Male Practitioner

Dr. Fenris Scudder , DDS

Dentist • Shelton, WA

Professional Overview & Biography Verified Profile Summary

Dr. Fenris Scudder, DDS is a registered healthcare professional specializing in Dentist in Shelton, WA. Practice services are available at 3100 SE OLD OLYMPIC HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3100 Se Old Olympic Hwy

Shelton, WA 985847731

Telephone 3604271784
Fax 3604271818
Associated Practice Facility / Clinic
🏢 Kamilche Dental Center Facility NPI 1043379480

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Shelton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Shelton, WA (2853 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE00007430

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dshs Provider Number
5027990 (WA)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1023235397

Doctor of Dental Surgery

NPI 1063969533
NPI 1215000666

LICENSEDENTURIST

NPI 1992922272

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 30, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2007

Registered at 3100 SE OLD OLYMPIC HWY, SHELTON, WA 985847731 (Tel: 3604271784)

📍
Updated Business Mailing Address July 30, 2007

Registered at 3100 SE OLD OLYMPIC HWY, SHELTON, WA 985847731 (Tel: 3604271784)

👤
Provider Name / Credentials Updated July 30, 2007

Recorded as FENRIS SCUDDER, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2007

Dentist (License #DE00007430 in WA)

🟢
Initial NPI Registration & Enumeration July 30, 2007

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: 1053501668
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2007
Last Update: July 30, 2007
Sole Proprietor: Yes

Mailing Address

3100 Se Old Olympic Hwy

Shelton, WA 985847731

Phone: 3604271784

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.