Organization Active NPI

Park Lakewood Dental and Denture LLP

  • General Practice Dentistry
  • Tacoma, WA
National Provider Identifier
1235928409
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PARK LAKEWOOD DENTAL AND DENTURE LLP
Practice address
8717 S Tacoma Way
Tacoma, WA 98499-4544
Phone
(206) 258-0204
NPI assigned
May 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Ji Woon Yoo
Title
Co-Owner
Phone
(206) 258-0204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8717 S Tacoma Way
Tacoma, WA 98499-4544

Mailing address

1037 105TH Avenue CT E
Edgewood, WA 98372-1327
Phone (206) 258-0204

Other names 1

  • Park Dental and Denture clinic Doing business as

National Provider Directory

National Provider Directory

Locations

8717 South Tacoma Way
Tacoma, WA 98499
Phone (253) 353-1225

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1235928409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 105TH AVENUE CT E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983721327",
            "telephone_number": "206-258-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 S TACOMA WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984994544",
            "telephone_number": "206-258-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK LAKEWOOD DENTAL AND DENTURE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "JI WOON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "206-258-0204"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Dental and Denture clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.