Organization Active NPI

Park Kent Dental and Denture LLP

Doing business as Park Dental and Denture clinic

  • General Practice Dentistry
  • Kent, WA
National Provider Identifier
1306635578
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 KENT DENTAL AND DENTURE LLP
Doing business as
Park Dental and Denture clinic
Practice address
423 E Ward St
Kent, WA 98030-4537
Phone
(206) 258-0204
NPI assigned
May 5, 2025
Last updated
May 5, 2025By the provider in NPPES
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

423 E Ward St
Kent, WA 98030-4537

Mailing address

1037 105TH Avenue CT E
Edgewood, WA 98372-1327

Other names 1

  • Park Dental and Denture clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

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": "1306635578",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E WARD ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304537",
            "telephone_number": "206-258-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK KENT DENTAL AND DENTURE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "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 Kent, 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.