EVERETT MODERN DENTISTRY
NPI 1366966376
Dentist in Everett, WA

Active since August 01, 2017CLIA 50D2339202 · Waiver
1031 SE EVERETT MALL WAY STE 101, EVERETT, WA 98208(425) 426-2077(425) 307-6210 Get Directions Write a Review

NPPES record last updated: August 1, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Everett Modern Dentistry NPPES

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

EVERETT MODERN DENTISTRY (NPI 1366966376) is a healthcare organization registered as a dentist in Everett, Washington and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists William J Mcglashan, Owner, as its authorized official.

NPPES Registry Identity

NPI1366966376
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameWASHINGTON DENTAL CORPORATION, PC
Location Address1031 SE EVERETT MALL WAY STE 101Everett, WA 98208-2833
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (303) 952-0892
Fax(425) 307-6210
Organization SubpartNo
Authorized OfficialWilliam J McglashanOwner · (425) 426-2077
Enumeration DateAugust 1, 2017
NPI 1366966376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.

1031 SE EVERETT MALL WAY STE 101, Everett, WA 98208

Other Names 1

Doing Business AsEverett Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2339202

Everett Modern Dentistry · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D2339202
Laboratory TypeOther Practitioner
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAniya Lohia
Laboratory Phone(425) 426-2077
Laboratory LocationEverett Modern Dentistry1031 SE Everett Mall Wy, Ste 101, Everett, WA 98208
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Dentist
1031 SE EVERETT MALL WAY STE 101
EVERETT, WA 98208
Dentist
1031 SE EVERETT MALL WAY STE 101
EVERETT, WA 98208

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 Washington Dental Corporation, PC's NPI number?

The NPI number for Washington Dental Corporation, PC is 1366966376. It was assigned to this organization in the NPPES registry on August 1, 2017. The provider is doing business as Everett Modern Dentistry.

Where is Washington Dental Corporation, PC located?

Washington Dental Corporation, PC is located at 1031 SE Everett Mall Way Ste 101, Everett, WA 98208. The listed phone number is (425) 426-2077.

What is Washington Dental Corporation, PC's specialty?

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

Does Washington Dental Corporation, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2339202) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Washington Dental Corporation, PC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Washington Dental Corporation, PC 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 Washington Dental Corporation, PC was last updated on August 1, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.