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ROBERT LY
NPI 1265176432
Oral & Maxillofacial Surgery in Seattle, WA

Active since April 25, 2022
1959 NE PACIFIC STREET HEALTH SCIENCES BUILDING B-241 B, SEATTLE, WA 98195(206) 543-5860 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2025, Jul 16, 2024, Apr 25, 2022 (3 updates tracked since 2022).

About Robert Ly NPPES

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

ROBERT LY (NPI 1265176432) is an individual oral & maxillofacial surgery provider in Seattle, Washington, licensed in Washington (DR61678626) and active in the NPI registry since April 2022. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265176432
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameROBERT LY
Location Address1959 NE PACIFIC STREET HEALTH SCIENCES BUILDING B-241 BSeattle, WA 98195-7573
Mailing Address402 N Euclid StSanta Ana, CA 92703-2414
Phone(206) 543-5860
Sole ProprietorYes
Enumeration DateApril 25, 2022
Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1265176432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in WA · DR61678626
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentistTaxonomy 122300000X · License DDS110071 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1959 NE PACIFIC STREET HEALTH SCIENCES BUILDING B-241 B, Seattle, WA 98195
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Secondary Practice Locations 2

Location 115628 Brookhurst StWestminster, CA 92683-7573 · Phone (714) 839-6300
Location 21501 Kings HwyShreveport, LA 71103-4228 · Phone (318) 626-0547

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 Robert Ly's NPI number?

The NPI number for Robert Ly is 1265176432. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Robert Ly located?

Robert Ly practices at 1959 NE Pacific Street Health Sciences Building B-241 B, Seattle, WA 98195. The listed phone number is (206) 543-5860.

What is Robert Ly's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Robert Ly was last updated on July 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.