Chc Of Snohomish County 112th Dental is a Dental Clinic in Everett, Washington. It is located at 1019 112th St Sw, Everett, WA and its contact number is 425-551-6001. The authorized person for Chc Of Snohomish County 112th Dental is Mr. Kenneth M Green
who is Executive Director of the clinic and their contact number is 425-789-3700. The primary license number for Chc Of Snohomish County 112th Dental is 5010921 (Dentist) in Washington.
Chc Of Snohomish County 112th Dental Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Chc Of Snohomish County 112th Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Chc Of Snohomish County 112th Dental |
| Specialization: | Dentistry |
| Clinic Address: | 1019 112th St Sw, Everett,
Washington, 98204 |
| Phone: | 425-551-6001 |
| Fax: | 425-551-6008 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Kenneth M Green |
| Position: | Executive Director |
| Contact Number: | 425-789-3700 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Chc Of Snohomish County 112th Dental clinic are as mentioned below.
| NPI Number: | 1649460288 |
| NPI Enumeration Date: | 30 Jul, 2007 |
| NPI Last Update On: | 30 Jul, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Chc Of Snohomish County 112th Dental are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 5010921 | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 5010921 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Chc Of Snohomish County 112th Dental
Po Box 13060,
Everett, Washington |
| Zip: | 98206-3060 |
| Phone Number: | 425-789-3700 |
| Fax Number: | 425-789-3754 |
Patients can reach Chc Of Snohomish County 112th Dental at
1019 112th St Sw, Everett, Washington or can
call to book an appointment on 425-551-6001.
Comments/ Reviews:
Read all the reviews posted for Chc Of Snohomish County 112th Dental below. You may also share your own experience with Chc Of Snohomish County 112th Dental. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.