Healthcare Provider Details

I. General information

NPI: 1316872484
Provider Name (Legal Business Name): D GREENHALGH DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15130 MAIN ST STE 210
MILL CREEK WA
98012-7370
US

IV. Provider business mailing address

15130 MAIN ST STE 210
MILL CREEK WA
98012-7370
US

V. Phone/Fax

Practice location:
  • Phone: 425-357-6400
  • Fax:
Mailing address:
  • Phone: 425-357-6400
  • Fax: 425-357-6068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DARREN GREENHALGH
Title or Position: OWNER
Credential: DDS
Phone: 206-353-1844