# EVERETT MALL WAY DENTAL GROUP

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699917302
- **Authorized official:** THOMAS F HELBERT DDS (OWNER)
- **Authorized official phone:** (425) 353-6254

## Contact information

- **Practice address:** 20 SW EVERETT MALL WAY, SUITE 1, EVERETT, WA 98204-2700
- **Practice address phone:** (425) 353-6254
- **Practice address fax:** (425) 353-6271
- **Mailing address:** 20 SW EVERETT MALL WAY, SUITE 1, EVERETT, WA 98204-2700
- **Mailing address phone:** (425) 353-6254
- **Mailing address fax:** (425) 353-6271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D00007661 | WA | Yes |

## Other

- **Enumeration date:** 03/26/2009
- **Last updated:** 03/26/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5058326 | — | WA |