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JERRY CHARLES GREENFIELD DDS
NPI 1619049293
Dentist - General Practice in Federal Way, WA

Active since November 15, 2006
32105 1ST AVE S, B-5, FEDERAL WAY, WA 98003(253) 838-2055(253) 874-2992 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Charles Greenfield Dds NPPES

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

JERRY CHARLES GREENFIELD DDS (NPI 1619049293) is an individual general practice provider in Federal Way, Washington, licensed in Washington (DE00004214) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1619049293
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJERRY CHARLES GREENFIELDCredential: DDS
Location Address32105 1ST AVE S, B-5Federal Way, WA 98003-5719
Mailing Address32105 1st Ave S, B-5Federal Way, WA 98003-5719 · (253) 838-2055 · Fax (253) 874-2992
Phone(253) 838-2055
Fax(253) 874-2992
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619049293 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 · DE00004214
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.
32105 1ST AVE S, Federal Way, WA 98003
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Other Identifiers 1

Medicaid5744305WA

Other Providers at the Same Location NPPES 4

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

EID, JABER, JASSAR, PLLC
Clinic/Center (Dental)
32105 1ST AVE S
FEDERAL WAY, WA 98003
King County (360) 636-1900
ALAN A MACKENZIE DDS
Dentist (General Practice)
32105 1ST AVE S, SUITE B-5
FEDERAL WAY, WA 98003
King County (253) 838-2055
DR. WAYNE ETNYRE SVOBODA DDS
Dentist
32105 1ST AVE S, # B3
FEDERAL WAY, WA 98003
King County (253) 838-2560
ALEX SUTTON D.D.S.
Dentist (General Practice)
32105 1ST AVE S, SUITE B-1
FEDERAL WAY, WA 98003
King County (253) 838-4880

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 Jerry Greenfield's NPI number?

The NPI number for Jerry Greenfield is 1619049293. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Jerry Greenfield located?

Jerry Greenfield practices at 32105 1st Ave S B-5, Federal Way, WA 98003. The listed phone number is (253) 838-2055.

What is Jerry Greenfield'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 Jerry Greenfield was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.