OrganizationActive
Theodore M Hennessey DDS Ps
NPI 1255694147 · General Practice Dentistry · Lynnwood, WA
Provider details
- NPI number
- 1255694147
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Theodore Hennessey, Owner(425) 774-7781
- License
- DE00010589 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19715 Scriber Lake Rd Ste C
Lynnwood, WA 98036-6165
Phone: (425) 774-7781
Street-level locationGet directions
Mailing address
19715 Scriber Lake Rd Ste C
Lynnwood, WA 98036-6165
Registry dates
- Enumerated
- 2012-06-17
- Last updated
- 2012-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.