NPIMap

Organization Active NPI

Min-N-Out Dental&Denture Service Corp.

  • Dentist
  • Kent, WA
National Provider Identifier
1063336873
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MIN-N-OUT DENTAL&DENTURE SERVICE CORP.
Practice address
306 Washington Ave S
Kent, WA 98032-5713
Phone
(253) 981-3816
Fax
(253) 981-3926
NPI assigned
Aug 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Mr. Minseok Kim
Title
President
Phone
(253) 839-1505

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
DenturistGroup: 193200000X MULTI-SPECIALTY GROUP 122400000X
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X

Addresses

Primary practice location

306 Washington Ave S
Kent, WA 98032-5713

Mailing address

306 Washington Ave S
Kent, WA 98032-5713
Phone (253) 981-3816

Other names 1

  • Kent dental implant center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Min-N-Out Dental Denture2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1063336873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WASHINGTON AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325713",
            "telephone_number": "253-981-3816",
            "fax_number": "253-981-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WASHINGTON AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325713",
            "telephone_number": "253-981-3816",
            "fax_number": "253-981-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIN-N-OUT DENTAL&DENTURE SERVICE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MINSEOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-839-1505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "122400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent dental implant center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.