| Chet Jenkins Pc | |
|
18505 Alderwood Mall Pkwy Lynnwood WA 98037-8012 | |
| (425) 329-6677 | |
| Not Available |
| Full Name | Chet Jenkins Pc |
|---|---|
| Speciality | Dentist |
| Location | 18505 Alderwood Mall Pkwy, Lynnwood, Washington |
| Authorized Official Name and Position | Melody Bennion (VP OF TRAINING & INTEGRATIONS) |
| Authorized Official Contact | 4802348490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chet Jenkins Pc 410 N 44th St Ste 600 Phoenix AZ 85008-7616 Ph: (480) 626-4154 | Chet Jenkins Pc 18505 Alderwood Mall Pkwy Lynnwood WA 98037-8012 Ph: (425) 329-6677 |
| NPI Number | 1699331363 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 11/05/2025 |
| Medicare PECOS PAC ID | 8628455938 |
|---|---|
| Medicare Enrollment ID | O20220506000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699331363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |
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