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Chc of Snohomish County 112th Dental

Dentist in Everett, WA · enumerated 2007 · authorized official Kenneth Green, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649460288

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Registry record

Entity type Organization (Type 2)
Legal business name Chc of Snohomish County 112th Dental
Practice address 1019 112th St Sw, Everett, WA, 98204
Phone (425) 551-6001
Fax (425) 551-6008
Enumeration date Jul 30, 2007
Last updated in NPPES Jul 30, 2007

Taxonomy & classification

122300000X Dentist Dental Providers · License 5010921 (WA) Primary

Authorized official

Name Kenneth Green
Title Executive Director
Phone (425) 789-3700

Other identifiers

Identifier Type State Issuer
5010921 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Chc of Snohomish County 112th Dental?
The NPI for Chc of Snohomish County 112th Dental is 1649460288, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Chc of Snohomish County 112th Dental?
NPPES lists Kenneth Green (Executive Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-30.