Kulshan Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KULSHAN PEDIATRIC DENTISTRY

Practice address

2210 Kulshan View Dr Ste 102
Mount Vernon, WA 98273-2779

Phone

(360) 424-3811

NPI assigned

Nov 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Yeh

Title

Member

Phone

(360) 424-3811

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1912509464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 KULSHAN VIEW DR STE 102",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732779",
            "telephone_number": "360-424-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 KULSHAN VIEW DR STE 102",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732779",
            "telephone_number": "360-424-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULSHAN PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "YEH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-424-3811",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kresl, OTR/L
• Noreen Lynn Krymski
• Chia-Jen Kuan, M.D., PHD
• Marcia Rene Kucera, ARNP
• Kulshan Oral Surgery
• Emily Kunz-Brockman, DO
• Lou Kupka-Schutt, PHD, RD
• Tanya R Kutz, LMP
• Laboratory Corporation of America
• Laboratory Corporation of America

• Pediatric Dentistry in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.