WASHINGTON DENTAL FEDERAL WAY LLC NPI 1417506486

NPI Information

NPI: 1417506486
Provider Name: WASHINGTON DENTAL FEDERAL WAY, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
31515 PETE VON REICHBAUER WAY S UNIT 108
FEDERAL WAY, WA
ZIP 98003
Phone: (206) 592-2442
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WASHINGTON DENTAL FEDERAL WAY, LLC is a general practice dentist in Federal Way, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WASHINGTON DENTAL FEDERAL WAY, LLC NPI is 1417506486. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

31515 PETE VON REICHBAUER WAY S UNIT 108
FEDERAL WAY, WA
ZIP 98003-599
Phone: (206) 592-2442

The provider's authorized official is Yong Park .
The authorized official title is Ceo and has the following contact phone number (206) 592-2442.

The enumeration date for this NPI number is 9/11/2019 and was last updated on 9/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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