Chc of Snohomish County 112th Dental
NPI 1649460288ActiveOrganization· Dentist· Everett, WA
Dentist in Everett, Washington, registered in NPPES in July 2007. The authorized official on file is Kenneth M. Green, Executive Director.
Overview
| NPI | 1649460288 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2007 |
| Last updated in NPPES | Jul 30, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 5010921 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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