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COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY LYNNWOOD DENTAL
NPI 1114058195
Dentist in Lynnwood, WA

Active since March 08, 2007
4111 194TH ST SW, SUITE 200, LYNNWOOD, WA 98036(425) 835-5204(425) 835-5205 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Health Center Of Snohomish County Lynnwood Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY LYNNWOOD DENTAL (NPI 1114058195) is a healthcare organization registered as a dentist in Lynnwood, Washington and active in the NPI registry since March 2007. The organization lists Kenneth M Green, Pt Account Manager, as its authorized official.

NPPES Registry Identity

NPI1114058195
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCOMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Location Address4111 194TH ST SW, SUITE 200Lynnwood, WA 98036-4604
Mailing AddressPo Box 13060Everett, WA 98206-3060 · (425) 789-3700 · Fax (425) 789-3750
Phone(425) 835-5204
Fax(425) 835-5205
Organization SubpartYes
Authorized OfficialKenneth M GreenPt Account Manager · (425) 789-3700
Enumeration DateMarch 8, 2007
Last NPPES UpdateJune 13, 2008
✔ NPI 1114058195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · 7034036
Definition
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.
4111 194TH ST SW, Lynnwood, WA 98036
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Other Names 1

Other NameCommunity Health Center Of Snohomish County Lynnwood Dental

Other Identifiers 3

Other32770WA · Workmen Compensation
Other8934243WA · Crime Victims Compensatio
Medicaid5010921WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Pharmacy (Clinic Pharmacy)
4111 194TH ST SW, SUITE 300
LYNNWOOD, WA 98036
Snohomish County (425) 835-5202
DR. ALAN LOPEZ DDS
Dentist
4111 194TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 835-5200
DR. ALANA EAST DDS
Dentist
4111 194TH ST SW, STE #201
LYNNWOOD, WA 98036
Snohomish County (425) 835-5204
ERIKA HASE PA-C
Physician Assistant
4111 194TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 835-5200
MAUREEN M MCKENZIE ARNP
Nurse Practitioner (Community Health)
4111 194TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 775-2589
MRS. SHAWN MARIE MADZIWA ARNP, FNP-C, RN
Nurse Practitioner (Family)
4111 194TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 835-5200
DR. RAMIL MATEO D.D.S
Dentist (General Practice)
4111 194TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 835-5204
RACHEL A SARRACCO PA
Physician Assistant
4111 194TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 789-3789

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Health Center Of Snohomish County's NPI number?

The NPI number for Community Health Center Of Snohomish County is 1114058195. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is also known as Community Health Center Of Snohomish County Lynnwood Dental.

Where is Community Health Center Of Snohomish County located?

Community Health Center Of Snohomish County is located at 4111 194th St SW Suite 200, Lynnwood, WA 98036. The listed phone number is (425) 835-5204.

What is Community Health Center Of Snohomish County's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Community Health Center Of Snohomish County was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.