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KENMORE DENTAL
NPI 1366748105
Dentist - General Practice in Kenmore, WA

Active since January 26, 2011
5723 NE BOTHELL WAY STE B, KENMORE, WA 98028(425) 485-0588(425) 483-6189 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenmore Dental NPPES

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

KENMORE DENTAL (NPI 1366748105) is a healthcare organization registered as a general practice in Kenmore, Washington and active in the NPI registry since January 2011. The organization lists Teri Anne Shackelford, Office Manger, as its authorized official.Information from the official NPPES registry record, last updated July 21, 2016.

NPPES Registry Identity

NPI1366748105
Entity TypeOrganization
Legal Business NameMICHAEL CONWAY DDS PLLC
Location Address5723 NE BOTHELL WAY STE BKenmore, WA 98028-9404
Mailing Address5723 Ne Bothell Way Ste BKenmore, WA 98028-9404 · (425) 485-0588 · Fax (425) 483-6189
Phone(425) 485-0588
Fax(425) 483-6189
Organization SubpartNo
Authorized OfficialTeri Anne ShackelfordOffice Manger · (425) 485-0588
Enumeration DateJanuary 26, 2011
Last NPPES UpdateJuly 21, 2016
✔ NPI 1366748105 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Dentist · General Practice

Taxonomy 1223G0001X · Dental Providers

✔ Licensed in WA · 7496

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… Show more

5723 NE BOTHELL WAY STE B, Kenmore, WA 98028
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Also on File with NPPES

Other Names1
Kenmore Dental (Doing Business As)
Other Identifiers1
7526610001 (Medicare NSC, WA)
Group Practice1
This 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)

Reviews for KENMORE DENTAL

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

ROBINSON & CONWAY, P.L.L.C.
Dentist (General Practice)
5723 NE BOTHELL WAY STE B
KENMORE, WA 98028
King County (425) 485-0588
PRIYA SRIDHAR DMD PLLC
Dentist (General Practice)
5723 NE BOTHELL WAY STE B
KENMORE, WA 98028
King County (425) 485-0588

Frequently Asked Questions

What is MICHAEL CONWAY DDS PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1366748105, enumerated as an "organization" on January 26, 2011.

Where is the provider located?

The provider is located at 5723 NE BOTHELL WAY STE B KENMORE, WA 98028 and the phone number is (425) 485-0588.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

What insurance does MICHAEL CONWAY DDS PLLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.