IndividualActive
Shawn Fettig, LD
NPI 1942398524 · Denturist · Vancouver, WA
Provider details
- NPI number
- 1942398524
- Entity type
- Individual
- Primary specialty
- DenturistDental Providers
- Credential
- LD
- Sex
- Male
- Sole proprietor
- No
- License
- ON00000393 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2701 Ne 114 Ave
#k6
Vancouver, WA 98684-4289
Phone: (360) 892-7107
Fax: (360) 891-8361
Approximate (ZIP-level) locationGet directions
Mailing address
2701 Ne 114 Ave
Vancouver, WA 98684-4289
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.