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CRYSTAL DENTAL INC.
NPI 1184047466
Dentist - General Practice in Renton, WA

Active since January 23, 2014
12644 164TH AVE SE, RENTON, WA 98059(425) 282-4182(425) 572-6072 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Dental Inc. NPPES

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

CRYSTAL DENTAL INC. (NPI 1184047466) is a healthcare organization registered as a general practice in Renton, Washington and active in the NPI registry since January 2014. The organization lists Chris Joon Lee, Dentist, as its authorized official.

NPPES Registry Identity

NPI1184047466
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCRYSTAL DENTAL INC.
Location Address12644 164TH AVE SERenton, WA 98059-6403
Mailing Address12644 164th Ave SeRenton, WA 98059-6403 · (425) 282-4182 · Fax (425) 572-6072
Phone(425) 282-4182
Fax(425) 572-6072
Organization SubpartNo
Authorized OfficialChris Joon LeeDentist · (425) 282-4182
Enumeration DateJanuary 23, 2014
✔ NPI 1184047466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE60389882
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12644 164TH AVE SE, Renton, WA 98059
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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

Other Providers at the Same Location NPPES 4

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

DR. JI-EUN CHOE DDS
Dentist
12644 164TH AVE SE
RENTON, WA 98059
King County (425) 282-4182
M. CHO, DDS, PLLC
Clinic/Center (Dental)
12644 164TH AVE SE
RENTON, WA 98059
King County (425) 282-4182
DR. MICHAEL SUNGYUN CHO DDS
Dentist
12644 164TH AVE SE
RENTON, WA 98059
King County (425) 282-4182
DR. CHRIS JOON LEE D.M.D.
Dentist
12644 164TH AVE SE
RENTON, WA 98059
King County (425) 282-4182

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 Crystal Dental Inc.'s NPI number?

The NPI number for Crystal Dental Inc. is 1184047466. It was assigned to this organization in the NPPES registry on January 23, 2014.

Where is Crystal Dental Inc. located?

Crystal Dental Inc. is located at 12644 164th Ave SE, Renton, WA 98059. The listed phone number is (425) 282-4182.

What is Crystal Dental Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Crystal Dental Inc. was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.