JJ Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JJ DENTAL LLC

Doing business as

Access Dental

Practice address

2417 Pacific Ave SE # 1a
Olympia, WA 98501-2052

Phone

(360) 878-8002

Fax

(360) 878-8186

NPI assigned

Aug 8, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Joann Campbell

Title

Office Manager

Phone

(206) 772-5673

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Access Dental Doing business as

Practitioners 3

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

• Jae Lyung Hur, D.M.D

  • Dentist
  • Seattle, WA
  • NPI 1740514439
  NPD (past)
• Hyun K. Kwon, D.D.S.

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1023149358
  NPD (past)
• Hyuk Yang, D.M.D.

  • General Practice Dentistry
  • Bellevue, WA
  • NPI 1497013841
  NPD (past)

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1003331331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7632 S 126TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981784835",
            "telephone_number": "206-772-5673",
            "fax_number": "206-772-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 PACIFIC AVE SE # 1A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012052",
            "telephone_number": "360-878-8002",
            "fax_number": "360-878-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-772-5673",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740514439",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Autumn Jewell
• Rebecca Ann Jewell, LABA
• Lin Jiang, M.D.
• Uriel Jimenez Sanchez
• Anurag Jindal, M.D.
• Rodney W Joe, MD
• Gurpritam Anisha Johal, MD
• John C Walker DDS, Inc, PS
• John E. Monroe DDS PLLC (Access Dental)
• John H Farrer MD

• General Practice Dentistry in Olympia, WA
• Providers in Olympia, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.