Chris J. Lee, DMD, Chris J. Park, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE60229142 Issued in WA

Legal business name

CHRIS J. LEE, DMD, CHRIS J. PARK, DDS, PLLC

Doing business as

Milestone Dental Group

Practice address

16330 SE 256TH St
Covington, WA 98042-4233

Phone

(206) 245-3349

NPI assigned

Jun 24, 2015

Last updated

Jun 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Jin Park, DDSNPI 1013203405

Title

Dentist

Phone

(206) 245-3349

Specialties & licenses 1

Addresses

Other names 1

• Milestone Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Jin Park, D.D.S.

  • Dentist
  • Covington, WA
  • NPI 1013203405
  NPD (past) Authorized official

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1245612423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10610 NE 9TH PL UNIT 1103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980048640",
            "telephone_number": "206-245-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16330 SE 256TH ST",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424233",
            "telephone_number": "206-245-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS J. LEE, DMD, CHRIS J. PARK, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-245-3349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60229142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestone Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Jiayan Chen
• Shirley Chen, L.AC
• Edward L. Cheng, L.AC.
• Eunice Seung-Hee Cho, MD
• Amos Young Won Chon, DC
• Christopher Maguire-Adams, PLLC (Peak Endodontics)
• Danae Claar, LMP
• Adyson Clabby, DPT
• Crystal Clayson
• Stephen Cobert, MD

• Dental Clinic/Center in Covington, WA
• Providers in Covington, 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 Jun 24, 2015; 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.