OrganizationActive
Daniel M. Henricksen DDS Ms PLLC
NPI 1821410663 · Dental Clinic/Center · Chehalis, WA
Provider details
- NPI number
- 1821410663
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Henricksen, Dentist/Owner(360) 748-4481
- License
- 5334800 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1292 S Market Blvd
Chehalis, WA 98532-3645
Phone: (360) 748-4481
Fax: (360) 740-7542
Street-level locationGet directions
Mailing address
1292 S Market Blvd
Chehalis, WA 98532-3645
Other names (DBA / former)
- Doing business as
- Henricksen Family Dental
Registry dates
- Enumerated
- 2014-01-14
- Last updated
- 2015-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.