SOUTH CENTER PEDIATRIC DENTISTRY AND ORTHODONTIC
NPI 1275996191
Dentist - Pediatric Dentistry in Tukwila, WA

Active since March 29, 2016
505 STRANDER BLVD, TUKWILA, WA 98188(206) 575-2556(253) 604-0598 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Center Pediatric Dentistry And Orthodontic NPPES

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

SOUTH CENTER PEDIATRIC DENTISTRY AND ORTHODONTIC (NPI 1275996191) is a healthcare organization registered as a pediatric dentistry in Tukwila, Washington and active in the NPI registry since March 2016. The organization lists Mahadeep S Virk, Owner Operator, as its authorized official.

NPPES Registry Identity

NPI1275996191
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSOUTH CENTER PEDIATRIC DENTISTRY AND ORTHODONTICS LLC
Location Address505 STRANDER BLVDTukwila, WA 98188-2920
Mailing Address505 Strander BlvdTukwila, WA 98188-2920 · (206) 575-2556 · Fax (253) 604-0598
Fax(253) 604-0598
Organization SubpartNo
Authorized OfficialMahadeep S VirkOwner Operator · (206) 575-2556
Enumeration DateMarch 29, 2016
NPI 1275996191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in WA · 603591381
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

505 STRANDER BLVD, Tukwila, WA 98188

Other Names 1

Doing Business AsSouth Center Pediatric Dentistry And Orthodontic

Other Identifiers 1

Medicaid2010685WA

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
505 STRANDER BLVD
TUKWILA, WA 98188
Dentist (General Practice)
505 STRANDER BLVD
TUKWILA, WA 98188
Dentist (Pediatric Dentistry)
505 STRANDER BLVD
TUKWILA, WA 98188

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 South Center Pediatric Dentistry And Orthodontics LLC's NPI number?

The NPI number for South Center Pediatric Dentistry And Orthodontics LLC is 1275996191. It was assigned to this organization in the NPPES registry on March 29, 2016. The provider is doing business as South Center Pediatric Dentistry And Orthodontic.

Where is South Center Pediatric Dentistry And Orthodontics LLC located?

South Center Pediatric Dentistry And Orthodontics LLC is located at 505 Strander Blvd, Tukwila, WA 98188. The listed phone number is (206) 575-2556.

What is South Center Pediatric Dentistry And Orthodontics LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does South Center Pediatric Dentistry And Orthodontics LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list South Center Pediatric Dentistry And Orthodontics LLC 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 South Center Pediatric Dentistry And Orthodontics LLC was last updated on March 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.