Organization Active NPI

Duong Dai Ly PLLC.

  • General Practice Dentistry
  • Centralia, WA
National Provider Identifier
1780590760
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DUONG DAI LY PLLC.
Practice address
1407 Kresky Ave
Centralia, WA 98531-8979
Phone
(360) 736-9397
NPI assigned
Aug 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Duong D Ly, DDSNPI 1548929821
Title
Dentist/Owner
Phone
(206) 618-4496

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1407 Kresky Ave
Centralia, WA 98531-8979

Mailing address

1407 Kresky Ave
Centralia, WA 98531-8979
Phone (360) 736-9397

National Provider Directory

National Provider Directory

Locations

1407 Kresky Ave
Centralia, WA 98531
Phone (360) 736-9397

Practitioners & affiliated clinicians

Practitioners 2

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": "1787184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1780590760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 KRESKY AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318979",
            "telephone_number": "360-736-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 KRESKY AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318979",
            "telephone_number": "360-736-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUONG DAI LY PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "DUONG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "206-618-4496",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.