1. Home
  2. Directory
  3. Washington
  4. Tukwila
  5. Dentist
  6. NPI Profile

SOUTHCENTER MODERN DENTISTRY
NPI 1205249810
Dentist - General Practice in Tukwila, WA

Active since June 11, 2014
17420 SOUTHCENTER PKWY, TUKWILA, WA 98188(253) 395-5555(253) 395-5560 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southcenter Modern Dentistry NPPES

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

SOUTHCENTER MODERN DENTISTRY (NPI 1205249810) is a healthcare organization registered as a general practice in Tukwila, Washington and active in the NPI registry since June 2014. The organization lists Brian S Bienstock, Owner, as its authorized official.

NPPES Registry Identity

NPI1205249810
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWASHINGTON DENTAL CORPORATION PC
Location Address17420 SOUTHCENTER PKWYTukwila, WA 98188-3701
Mailing Address17000 Red Hill AvenueIrvine, CA 92614 · (714) 845-8890 · Fax (949) 474-1495
Phone(253) 395-5555
Fax(253) 395-5560
Organization SubpartNo
Authorized OfficialBrian S BienstockOwner · (253) 395-5555
Enumeration DateJune 11, 2014
✔ NPI 1205249810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
17420 SOUTHCENTER PKWY, Tukwila, WA 98188
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthcenter Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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. ISABEL LO DMD
Dentist (General Practice)
17420 SOUTHCENTER PKWY
TUKWILA, WA 98188
King County (253) 395-5555
YUN PEI HSIEH DDS
Dentist
17420 SOUTHCENTER PKWY
TUKWILA, WA 98188
King County (253) 395-5555
DR. STEPHANIE HAN NGOC HOANG DDS
Dentist
17420 SOUTHCENTER PKWY
TUKWILA, WA 98188
King County (253) 395-5555
HUY THAN DDS
Dentist (General Practice)
17420 SOUTHCENTER PKWY
TUKWILA, WA 98188
King County (253) 258-6522

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 Washington Dental Corporation PC's NPI number?

The NPI number for Washington Dental Corporation PC is 1205249810. It was assigned to this organization in the NPPES registry on June 11, 2014. The provider is doing business as Southcenter Modern Dentistry.

Where is Washington Dental Corporation PC located?

Washington Dental Corporation PC is located at 17420 Southcenter Pkwy, Tukwila, WA 98188. The listed phone number is (253) 395-5555.

What is Washington Dental Corporation PC's specialty?

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

What insurance does Washington Dental Corporation PC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Washington Dental Corporation PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Washington Dental Corporation PC was last updated on June 11, 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.