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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WILLAMETTE DENTAL GROUP, P.C.
NPI 1033034491
Dentist in Seattle, WA

Active since August 12, 2026CLIA 50D1100928 · Waiver
11011 MERIDIAN AVE N STE 104, SEATTLE, WA 98133(855) 433-6825 Get Directions Write a Review

NPPES record added: August 12, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Willamette Dental Group, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLAMETTE DENTAL GROUP, P.C. (NPI 1033034491) is a healthcare organization registered as a dentist in Seattle, Washington and active in the NPI registry since August 2026. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Wee Yuen Chin, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1033034491
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameWILLAMETTE DENTAL GROUP, P.C.
Location Address11011 MERIDIAN AVE N STE 104Seattle, WA 98133-8967
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (855) 433-6825
Phone(855) 433-6825
Organization SubpartYes
Authorized OfficialWee Yuen ChinChief Financial Officer · (855) 433-6825
Enumeration DateAugust 12, 2026
NPPES CertifiedAugust 12, 2026
✔ NPI 1033034491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
11011 MERIDIAN AVE N STE 104, Seattle, WA 98133
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D1100928

Willamette Dental Northgate Specialty · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D1100928
Laboratory TypePharmacy
Certificate Effective DateJune 16, 2009
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJulie Ann Smith
Laboratory Phone(206) 365-0378
Laboratory LocationWillamette Dental Northgate Specialty11011 Meridian Ave N Ste 104, Seattle, WA 98133
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHERRI LYN WAI JUN CHONG DMD, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
11011 MERIDIAN AVE N STE 104
SEATTLE, WA 98133
King County (206) 365-0378
DR. JAMES RICHARD JAVIER D.D.S.
Dentist (General Practice)
11011 MERIDIAN AVE N STE 104
SEATTLE, WA 98133
King County (855) 433-6825
DR. KEVIN PHU HUYNH D.D.S.
Dentist (General Practice)
11011 MERIDIAN AVE N STE 104
SEATTLE, WA 98133
King County (855) 433-6825
JEAN J XU D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
11011 MERIDIAN AVE N STE 104
SEATTLE, WA 98133
King County (855) 433-6825
TINA KEUN NAN PARK D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
11011 MERIDIAN AVE N STE 104
SEATTLE, WA 98133
King County (855) 433-6825
DR. BRANDON DOAN HIEU NGUYEN DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
11011 MERIDIAN AVE N STE 104
SEATTLE, WA 98133
King County (855) 433-6825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willamette Dental Group, P.C.'s NPI number?

The NPI number for Willamette Dental Group, P.C. is 1033034491. It was assigned to this organization in the NPPES registry on August 12, 2026.

Where is Willamette Dental Group, P.C. located?

Willamette Dental Group, P.C. is located at 11011 Meridian Ave N Ste 104, Seattle, WA 98133. The listed phone number is (855) 433-6825.

What is Willamette Dental Group, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Does Willamette Dental Group, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1100928) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Willamette Dental Group, P.C. was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.