Lynnwood Dental Excellence DDS MSD PS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7993 Issued in WA

Legal business name

LYNNWOOD DENTAL EXCELLENCE DDS MSD PS INC

Doing business as

Lynnwood Dental Center

Practice address

4202 198TH St SW
Suite #3
Lynnwood, WA 98036-6730

Phone

(425) 775-0651

Fax

(425) 771-5085

NPI assigned

Nov 1, 2006

Last updated

Feb 24, 2021By 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

Mrs. Diane E Clemens

Title

Office Manager

Phone

(425) 775-0654

Specialties & licenses 1

Addresses

Other names 1

• Lynnwood Dental Center 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.

• James Liu, D.D.S.

  • Dentist
  • Lynnwood, WA
  • NPI 1235308032
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1306923560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 198TH ST SW",
            "address_2": "SUITE #3",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366730",
            "telephone_number": "425-775-0651",
            "fax_number": "425-771-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 198TH ST SW",
            "address_2": "SUITE #3",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366730",
            "telephone_number": "425-775-0651",
            "fax_number": "425-771-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNWOOD DENTAL EXCELLENCE DDS MSD PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "CLEMENS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-775-0654",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynnwood Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luxottica of America Inc. (Lenscrafters at Macy's #8874)
• Cecilia Andrea Lyle
• Lynnwood Chiropractic
• Lynnwood Chiropractic Clinic Inc PS
• Lynnwood Dental Care
• Lynnwood Family Chiropractic
• Lynnwood Family Chiropractic PS
• Lynnwood Health Services, Inc. (Lynnwood Post Acute Rehabilitation Center)
• Lynnwood Integrative Acupuncture Clinic LLC
• Lynnwood Medical Center, Incorporated, P.S. (Lynnwood Medical Center)

• General Practice Dentistry in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.