Organization Active NPI

GSP Dental Corp

  • Periodontics
  • Seattle, WA
National Provider Identifier
1588469100
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
GSP DENTAL CORP
Practice address
963 E Union St
Seattle, WA 98122-3822
Phone
(323) 765-9206
NPI assigned
Feb 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Sul Hong, DDSNPI 1366636920
Title
President
Phone
(425) 785-8902

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

963 E Union St
Seattle, WA 98122-3822

Mailing address

5988 Mont Blanc PL NW
Issaquah, WA 98027-7859
Phone (425) 785-8902

National Provider Directory

National Provider Directory

Locations

963 E Union St
Seattle, WA 98122
Phone (323) 765-9206

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": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1588469100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5988 MONT BLANC PL NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980277859",
            "telephone_number": "425-785-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 E UNION ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223822",
            "telephone_number": "323-765-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSP DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "SUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-785-8902",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 18, 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.