Centennial Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CENTENNIAL DENTAL

Practice address

122 E Maple St
Arlington, WA 98223-1545

Phone

(360) 435-8411

Fax

(360) 435-7945

NPI assigned

Apr 24, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sam Oh, DMDNPI 1376548685

Title

Dentist

Phone

(360) 435-8411

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sam Oh, DMD

  • Dentist
  • Everett, WA
  • NPI 1376548685
  NPD Authorized official
• David John Abdo, D.D.S

  • General Practice Dentistry
  • Arlington, WA
  • NPI 1215022199
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1184560997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E MAPLE ST",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231545",
            "telephone_number": "360-435-8411",
            "fax_number": "360-435-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E MAPLE ST",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231545",
            "telephone_number": "360-435-8411",
            "fax_number": "360-435-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-435-8411",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cascade Valley Anesthesia, PLLC
• Laura A. Castleberry, CRNA
• Center for Justice Social Work, Inc.
• Charles Turner Chaffee, MD
• Myanh R Chaidez
• Goretti Wai Yan Chan, OD
• Johnny Chan, O.D.

• Dental Clinic/Center in Arlington, WA
• Providers in Arlington, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.