Dr. Leo Soren Henrichsen , DDS
Dentist - General Practice • Kenmore, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Leo Henrichsen has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Leo Henrichsen, DDS was a registered Dentist - General Practice practicing in Kenmore, WA. Throughout an active medical career spanning 17 years, Dr. Henrichsen provided care at the practice location at 5723 NE BOTHELL WAY, SUITE D until profile deactivation on 2023-06-28.
Practice Location & Contact Primary Location
5723 Ne Bothell Way, Suite D
Kenmore, WA 98028
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Kenmore, WA
Practicing in Kenmore, WA (3345 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 28, 2023
NPI status registered as active in NPPES database
Registered at 5723 NE BOTHELL WAY, SUITE D, KENMORE, WA 98028 (Tel: 2063647181)
Registered at 5723 NE BOTHELL WAY, SUITE D, KENMORE, WA 98028 (Tel: 2063647181)
Recorded as LEO HENRICHSEN, D.D.S.
Dentist (License #3280 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5723 Ne Bothell Way, Suite D
Kenmore, WA 98028
Phone: 2063647181
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