# SCOTT HENRICKSEN DDS

> 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:** 1982001988
- **Authorized official:** J SCOTT HENRICKSEN DDS (OWNER DENTIST)
- **Authorized official phone:** (206) 542-7600

## Contact information

- **Practice address:** 701 N 182ND ST \# 120, SHORELINE, WA 98133-4430
- **Practice address phone:** (206) 542-7600
- **Practice address fax:** (206) 542-7727
- **Mailing address:** 701 N 182ND ST \# 120, SHORELINE, WA 98133-4430
- **Mailing address phone:** (206) 542-7600
- **Mailing address fax:** (206) 542-7727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5431 | WA | Yes |

## Other

- **Enumeration date:** 11/20/2014
- **Last updated:** 11/20/2014