MEDICARE: DR MONTEL R JENKINS DMD PS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	DE00004505	WA

General Provider Information

NPI Number	:	1578686325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR MONTEL R JENKINS DMD PS

Provider Business Mailing Address
First Line	:	212 PARK AVENUE NORTH
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98057-5717
Country	:	US
Telephone Number	:	425-228-6780
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 PARK AVENUE NORTH
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98057-5717
Country	:	US
Telephone Number	:	425-228-6780
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MONTEL R JENKINS
Credential	:	DMD
Telephone Number	:	425-228-6780

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1235252099 — DR. MONTEL R JENKINS DMD
Practice Location Address:

212 PARK AVE NORTH
RENTON, WA
98057-5717

Practice Phone: 425-228-6780
Practice Fax:

1598500142 — SEATTLE SERENITY THERAPY LLC
Practice Location Address:

707 S GRADY WAY STE 600
RENTON, WA
98057-3227

Practice Phone: 425-552-4675
Practice Fax: 253-409-2492

1861692675 — MS. ERNESTINE JOHANNA ROMBOUTS LCSW MAC CDP
Practice Location Address:

15 S GRADY WAY STE 424
RENTON, WA
98057-3216

Practice Phone: 425-204-5080
Practice Fax: 425-572-6323

1295676799 — YAWEN CHEN PHARMD
Practice Location Address:

2921 NACHES AVE SW
RENTON, WA
98057-2617

Practice Phone: 206-630-7979
Practice Fax:

1952559403 — LORI KIMMERLY LMFT
Practice Location Address:

15 S GRADY WAY STE 632
RENTON, WA
98057-3218

Practice Phone: 253-347-2579
Practice Fax: 253-838-1439

1962340075 — JON W CALDWELL, DMD, PLLC
Practice Location Address:

115 PELLY AVE N
RENTON, WA
98057-5714

Practice Phone: 425-226-3192
Practice Fax: 425-226-9848

Directions to “DR MONTEL R JENKINS DMD PS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.