University Place Smiles PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE0009186 Issued in WA

Legal business name

UNIVERSITY PLACE SMILES PLLC

Practice address

3670 Bridgeport Way W
Unit B
University Place, WA 98466-4413

Phone

(253) 212-3430

Fax

(253) 212-3288

NPI assigned

May 17, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Yong K Park, DDSNPI 1023163425

Title

Owner/Dentist

Phone

(253) 212-3430

Specialties & licenses 1

Addresses

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.

• Yong Park, DDS

  • General Practice Dentistry
  • University Place, WA
  • NPI 1023163425
  Authorized official Same address or phone

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1780020677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 BRIDGEPORT WAY W",
            "address_2": "UNIT B",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664413",
            "telephone_number": "253-212-3430",
            "fax_number": "253-212-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 BRIDGEPORT WAY W",
            "address_2": "UNIT B",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664413",
            "telephone_number": "253-212-3430",
            "fax_number": "253-212-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PLACE SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "253-212-3430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE0009186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University Place Chiropractic Inc (University Place Chiropractic)
• University Place Dental Clinic
• University Place Massage, LLC
• University Place Rehabilitation Center, LLC (University Place Rehabilitation Center)
• University Place School
• Up Family Medicine PLLC
• Simran Uppal
• Victor Urbina
• Cassandra Garcia Uribe, LICSW
• Kim Valentine, LMP

• Dental Clinic/Center in University Place, WA
• Providers in University Place, 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 Sep 7, 2016; 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.