CHC OF SNOHOMISH COUNTY 112TH DENTAL
NPI 1649460288
Dentist in Everett, WA

Q: What is Chc Of Snohomish County 112th Dental's NPI number?

The NPI number for Chc Of Snohomish County 112th Dental is 1649460288. It was assigned to this organization in the NPPES registry on July 30, 2007.

Q: What is Chc Of Snohomish County 112th Dental's specialty?

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

Active since July 30, 2007

1019 112TH ST SW, EVERETT, WA 98204(425) 551-6001(425) 551-6008 Get Directions Write a Review

NPPES record last updated: July 30, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Chc Of Snohomish County 112th Dental NPPES

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

CHC OF SNOHOMISH COUNTY 112TH DENTAL (NPI 1649460288) is a healthcare organization registered as a dentist in Everett, Washington and active in the NPI registry since July 2007. The organization lists Kenneth M Green, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649460288

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameCHC OF SNOHOMISH COUNTY 112TH DENTAL

Location Address1019 112TH ST SWEverett, WA 98204

Mailing AddressPo Box 13060Everett, WA 98206-3060 · (425) 789-3700 · Fax (425) 789-3754

Phone(425) 551-6001

Fax(425) 551-6008

Organization SubpartNo

Authorized OfficialKenneth M GreenExecutive Director · (425) 789-3700

Enumeration DateJuly 30, 2007

✔ NPI 1649460288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · 5010921

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.

1019 112TH ST SW, Everett, WA 98204

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Other Identifiers 1

Medicaid5010921WA

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 20

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

JULIA YUNKYUNG YI PA-C

Physician Assistant