# CHET JENKINS PC

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- **Entity:** Organization
- **Status:** 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:** 1699331363
- **Legal business name:** SIGNATURE DENTAL PARTNERS LLC
- **Authorized official:** MELODY BENNION (VP)
- **Authorized official phone:** (480) 234-8490

## Contact information

- **Practice address:** 18505 ALDERWOOD MALL PKWY, LYNNWOOD, WA 98037-8012
- **Practice address phone:** (425) 329-6677
- **Mailing address:** 410 N 44TH ST STE 600, PHOENIX, AZ 85008-7616
- **Mailing address phone:** (480) 626-4154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 05/17/2019
- **Last updated:** 04/27/2026