Active NPI
Skykomish Dental
- Dental Clinic/Center
- Sultan, WA
National Provider Identifier
1114830668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SKYKOMISH DENTAL
- Practice address
- 507 E Stevens Ave
Ste a
Sultan, WA 98294 - Phone
- (702) 954-9777
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad N Sharifi, DMD
- Title
- General Dentist
- Phone
- (702) 954-9777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
507 E Stevens Ave
Ste a
Sultan, WA 98294
Mailing address
6816 NE 153Rd PL Apt D
Kenmore, WA 98028-4927
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Seattle, WA
- NPI 1326599101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1114830668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6816 NE 153RD PL APT D",
"city": "KENMORE",
"state": "WA",
"postal_code": "980284927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 E STEVENS AVE",
"address_2": "STE A",
"city": "SULTAN",
"state": "WA",
"postal_code": "98294",
"telephone_number": "702-954-9777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYKOMISH DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "SHARIFI",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "GENERAL DENTIST",
"authorized_official_telephone_number": "702-954-9777",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sultan, WA
- Deborah Grace Shirley, RN
- Jocelyn Skinner
- Sky River Natural Health Center, Inc
- Sky River Naturopathic Center LLC (Sky River Natural Health Center)
- Sky Valley Family Medicine, PS
- Snohomish County Fire Prot Dist 5
- Jamie L. Snyder, LMP
- Melanie Nicole Spain, RDH, BSHCA
- Amanda Lynne Stetz, LMT
- Rodger Stuart
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.