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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: August 16, 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.

NPPES Registry Identity

NPI1366748105
Entity TypeOrganization
Primary Taxonomy1223G0001X
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.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · 7496
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.
5723 NE BOTHELL WAY STE B, Kenmore, WA 98028
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Other Names 1

Doing Business AsKenmore Dental

Other Identifiers 1

Medicare NSC7526610001WA

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 2

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

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 NPPES & CMS

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

What is Michael Conway Dds PLLC's NPI number?

The NPI number for Michael Conway Dds PLLC is 1366748105. It was assigned to this organization in the NPPES registry on January 26, 2011. The provider is doing business as Kenmore Dental.

Where is Michael Conway Dds PLLC located?

Michael Conway Dds PLLC is located at 5723 NE Bothell Way Ste B, Kenmore, WA 98028. The listed phone number is (425) 485-0588.

What is Michael Conway Dds PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Conway Dds PLLC was last updated on July 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.