LARRY HEGGERNESS SOCIAL PURPOSE PROFESSIONAL CORPORATION
NPI 1124365796
Dentist - Pediatric Dentistry in Tukwila, WA

Q: What is Larry Heggerness Social Purpose Professional Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since January 15, 2013

6720 FORT DENT WAY STE 120, TUKWILA, WA 98188(206) 242-4121(206) 242-4113 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Larry Heggerness Social Purpose Professional Corporation NPPES

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

LARRY HEGGERNESS SOCIAL PURPOSE PROFESSIONAL CORPORATION (NPI 1124365796) is a healthcare organization registered as a pediatric dentistry in Tukwila, Washington and active in the NPI registry since January 2013. The organization lists Larry K Heggerness, President, as its authorized official.

NPPES Registry Identity

NPI1124365796

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameLARRY HEGGERNESS SOCIAL PURPOSE PROFESSIONAL CORPORATION

Location Address6720 FORT DENT WAY STE 120Tukwila, WA 98188-2580

Mailing Address6720 Fort Dent Way Ste 120Tukwila, WA 98188-2580 · (206) 242-4121 · Fax (206) 242-4113

Phone(206) 242-4121

Fax(206) 242-4113

Organization SubpartNo

Authorized OfficialLarry K HeggernessPresident · (206) 242-4121

Enumeration DateJanuary 15, 2013

✔ NPI 1124365796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in WA · DE00003686

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

6720 FORT DENT WAY STE 120, Tukwila, WA 98188

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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

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

DOCARE DENTAL CORP.

Dentist (Pediatric Dentistry)

6720 FORT DENT WAY STE 120
TUKWILA, WA 98188

King County (206) 242-4121

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 Larry Heggerness Social Purpose Professional Corporation's NPI number?

The NPI number for Larry Heggerness Social Purpose Professional Corporation is 1124365796. It was assigned to this organization in the NPPES registry on January 15, 2013.

Where is Larry Heggerness Social Purpose Professional Corporation located?

Larry Heggerness Social Purpose Professional Corporation is located at 6720 Fort Dent Way Ste 120, Tukwila, WA 98188. The listed phone number is (206) 242-4121.

What is Larry Heggerness Social Purpose Professional Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Larry Heggerness Social Purpose Professional Corporation was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.