Lynnwood Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE0009186 Issued in WA

Legal business name

LYNNWOOD DENTAL CARE

Practice address

18623 Highway 99 Ste 210
Lynnwood, WA 98037-4552

Phone

(425) 412-3113

NPI assigned

Nov 25, 2014

Last updated

Nov 25, 2014By 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

Yong Park

Title

Dentist

Phone

(425) 412-3113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1821495466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18623 HIGHWAY 99 STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18623 HIGHWAY 99 STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374552",
            "telephone_number": "425-412-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNWOOD DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-412-3113"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE0009186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc. (Pearle Vision #6213)
• Luxottica of America Inc. (Lenscrafters at Macy's #8874)
• Cecilia Andrea Lyle
• Lynnwood Chiropractic
• Lynnwood Chiropractic Clinic Inc PS
• Lynnwood Dental Excellence DDS MSD PS Inc (Lynnwood Dental Center)
• Lynnwood Family Chiropractic
• Lynnwood Family Chiropractic PS
• Lynnwood Health Services, Inc. (Lynnwood Post Acute Rehabilitation Center)
• Lynnwood Integrative Acupuncture Clinic LLC

• 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 Nov 25, 2014; 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.