Michael S. Korn, D.D.S., P.L.L.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAEL S. KORN, D.D.S., P.L.L.C.

Doing business as

Michael Korn, DDS

Practice address

6720 Fort Dent Way Ste 210
Tukwila, WA 98188-2580

Phone

(206) 433-5595

Fax

(206) 433-0537

NPI assigned

Aug 8, 2017

Organization subpart

No

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

Authorized official

Name

Elizabeth Amador

Title

Office Manager

Phone

(206) 433-5595

Specialties & licenses 1

Addresses

Other names 1

• Michael Korn, DDS Doing business as

Practitioners 3

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

• Harrison Wamai, DDS

  • General Practice Dentistry
  • Tukwila, WA
  • NPI 1548778574
  NPD
• Dale Lawrence Petrich, DDS

  • Dentist
  • Tukwila, WA
  • NPI 1407950595
  NPD (past)
• Michael S. Korn, DDS

  • Dentist
  • Peoria, AZ
  • NPI 1891090833
  NPD (past)

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508381716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 FORT DENT WAY STE 210",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882580",
            "telephone_number": "206-433-5595",
            "fax_number": "206-433-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 FORT DENT WAY STE 210",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882580",
            "telephone_number": "206-433-5595",
            "fax_number": "206-433-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. KORN, D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-433-5595"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Korn, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claudia Messina
• Laurie M Metje
• Pamela Rae Meyer
• Maria Toloza Meza
• Michael H Tam
• Sarah Michaels, DO, MBA
• Ebony Arone Miller, B.A
• Kearstyn Alexis Miller
• Samuel S. Minagawa, D.D.S.
• Simarpreet K Minhas

• Dental Clinic/Center in Tukwila, WA
• Providers in Tukwila, 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 21, 2022; 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.