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THEODORE M HENNESSEY DDS PS
NPI 1255694147
Dentist - General Practice in Lynnwood, WA

Active since June 17, 2012
19715 SCRIBER LAKE RD STE C, LYNNWOOD, WA 98036(425) 774-7781 Get Directions Write a Review

NPPES record last updated: June 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodore M Hennessey Dds Ps NPPES

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

THEODORE M HENNESSEY DDS PS (NPI 1255694147) is a healthcare organization registered as a general practice in Lynnwood, Washington and active in the NPI registry since June 2012. The organization lists Theodore M Hennessey, Owner, as its authorized official.

NPPES Registry Identity

NPI1255694147
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTHEODORE M HENNESSEY DDS PS
Location Address19715 SCRIBER LAKE RD STE CLynnwood, WA 98036-6165
Mailing Address19715 Scriber Lake Rd Ste CLynnwood, WA 98036-6165 · (425) 774-7781
Phone(425) 774-7781
Organization SubpartNo
Authorized OfficialTheodore M HennesseyOwner · (425) 774-7781
Enumeration DateJune 17, 2012
✔ NPI 1255694147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00010589
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
19715 SCRIBER LAKE RD STE C, Lynnwood, WA 98036
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES

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

ROBERT LOUIS EILERT DDS
Dentist (General Practice)
19715 SCRIBER LAKE RD STE C
LYNNWOOD, WA 98036
Snohomish County (425) 774-7781

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 Theodore M Hennessey Dds Ps's NPI number?

The NPI number for Theodore M Hennessey Dds Ps is 1255694147. It was assigned to this organization in the NPPES registry on June 17, 2012.

Where is Theodore M Hennessey Dds Ps located?

Theodore M Hennessey Dds Ps is located at 19715 Scriber Lake Rd Ste C, Lynnwood, WA 98036. The listed phone number is (425) 774-7781.

What is Theodore M Hennessey Dds Ps's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Theodore M Hennessey Dds Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Theodore M Hennessey Dds Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore M Hennessey Dds Ps was last updated on June 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.