Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CHET JENKINS PC
Active
Organization
CHET JENKINS PC
Active
Parent organization
SIGNATURE DENTAL PARTNERS LLC
Other names
Green Lake Dental Care, Hutchinson Dental, Andrew T Mohlman DDS, Charles L Regalado DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIGNATURE DENTAL PARTNERS LLC
Authorized official
MELODY BENNION (VP)
(480) 234-8490
Entity
Organization
Contact information
Practice address
18505 ALDERWOOD MALL PKWY, LYNNWOOD, WA 98037-8012
(425) 329-6677
Mailing address
410 N 44TH ST STE 600, PHOENIX, AZ 85008-7616
(480) 626-4154
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/17/2019
Last updated
04/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers