Provider Demographics
NPI:1922187590
Name:KANTER, JEFFREY PAUL (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:PAUL
Last Name:KANTER
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15955 NE 85TH STREET
Mailing Address - Street 2:SUITE 205
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3550
Mailing Address - Country:US
Mailing Address - Phone:425-895-9575
Mailing Address - Fax:425-895-9875
Practice Address - Street 1:15955 NE 85TH STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3550
Practice Address - Country:US
Practice Address - Phone:425-895-9575
Practice Address - Fax:425-895-9875
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000073541223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics