Organization Active NPI

David Carl Obenchain DDS, PLLC

Doing business as Wisdom Teeth & Oral Surgery Center of Seattle

  • Oral and Maxillofacial Surgery (Dentist)
  • Seattle, WA
National Provider Identifier
1265380877
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DAVID CARL OBENCHAIN DDS, PLLC
Doing business as
Wisdom Teeth & Oral Surgery Center of Seattle
Practice address
3295 SW Avalon Way Ste B
Seattle, WA 98126-2683
Phone
(206) 561-2345
Fax
(206) 990-0800
NPI assigned
Mar 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
David Carl Obenchain, DDSNPI 1659408284
Title
Owner/Provider
Phone
(206) 561-2345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

3295 SW Avalon Way Ste B
Seattle, WA 98126-2683

Mailing address

3295 SW Avalon Way Ste B
Seattle, WA 98126-2683
Phone (206) 561-2345

Other identifiers 1

IdentifierTypeStateIssuer
2230333MedicaidWA

Other names 1

  • Wisdom Teeth & Oral Surgery Center of Seattle Doing business as

National Provider Directory

National Provider Directory

Locations

3295 SW Avalon Way
Ste B
Seattle, WA 98126
Phone (206) 561-2345

Practitioners & affiliated clinicians

Practitioners 1

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": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1265380877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 SW AVALON WAY STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262683",
            "telephone_number": "206-561-2345",
            "fax_number": "206-990-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 SW AVALON WAY STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262683",
            "telephone_number": "206-561-2345",
            "fax_number": "206-990-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID CARL OBENCHAIN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "OBENCHAIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "206-561-2345",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2230333",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisdom Teeth & Oral Surgery Center of Seattle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.