Northwest Smiles

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORTHWEST SMILES

Doing business as

Seung Jae Joung PLLC

Practice address

1545 Wilmington Dr Ste 100
Dupont, WA 98327-9032

Phone

(253) 581-6779

NPI assigned

Jul 31, 2024

Organization subpart

No

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

Authorized official

Name

Seung Jae Joung, DMD

Title

Owner Doctor

Phone

(412) 759-1270

Specialties & licenses 1

Addresses

Other names 1

• Seung Jae Joung PLLC Doing business as

Locations

Practitioners 2

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

• Yoojin Koo

  • General Practice Dentistry
  • Dupont, WA
  • NPI 1831071919
  NPD
• Seung Jae Joung, DMD

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1346692944
  NPD

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1275362840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 WILMINGTON DR STE 100",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279032",
            "telephone_number": "253-581-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 WILMINGTON DR STE 100",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279032",
            "telephone_number": "253-581-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "JOUNG",
        "authorized_official_first_name": "SEUNG",
        "authorized_official_middle_name": "JAE",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "412-759-1270",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seung Jae Joung PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Izzy Isahy Nero, ARNP
• Elizabeth Arlene Nevers, RN
• Hannah Elizabeth Newmarch
• Charlena Rae Niehenke
• Ijeoma Nneka Nnadi, DPT
• Rachel Lee Ohlde, PT
• Chloe Oliphant
• Alison Nikol Olsen
• Mallory Elaine Osterholtz
• Kristan K Overby, DDS

• Dental Clinic/Center in Dupont, WA
• Providers in Dupont, 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 Jul 31, 2024; 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.