OrganizationActive
Chc of Snohomish County 112th Dental
NPI 1649460288 · Dentist · Everett, WA
Provider details
- NPI number
- 1649460288
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Kenneth Green, Executive Director(425) 789-3700
- License
- 5010921 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1019 112th St Sw
Everett, WA 98204
Phone: (425) 551-6001
Fax: (425) 551-6008
Street-level locationGet directions
Mailing address
Po Box 13060
Everett, WA 98206-3060
Registry dates
- Enumerated
- 2007-07-30
- Last updated
- 2007-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.