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FREMONT DENTAL
NPI 1407001647
Dentist - General Practice in Seattle, WA

Active since December 01, 2008
3601 FREMONT AVE N, SUITE 316, SEATTLE, WA 98103(206) 675-0366(206) 675-0466 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fremont Dental NPPES

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

FREMONT DENTAL (NPI 1407001647) is a healthcare organization registered as a general practice in Seattle, Washington and active in the NPI registry since December 2008. The organization lists Simone Kim, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1407001647
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLISA PARK DDS & SIMONE KIM DDS
Location Address3601 FREMONT AVE N, SUITE 316Seattle, WA 98103-2709
Mailing Address3601 Fremont Ave N, Suite 316Seattle, WA 98103-2709 · (206) 675-0366 · Fax (206) 675-0466
Phone(206) 675-0366
Fax(206) 675-0466
Organization SubpartNo
Authorized OfficialSimone KimCo-owner · (206) 675-0366
Enumeration DateDecember 1, 2008
✔ NPI 1407001647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in WA · 743094945✔ Licensed in WA · 743094948
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.
3601 FREMONT AVE N, Seattle, WA 98103
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Other Names 1

Other NameFremont Dental

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

Other Providers at the Same Location NPPES 10

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

WENDY LEIGH SOBOL LMP
Massage Therapist
3601 FREMONT AVE N, #309
SEATTLE, WA 98103
King County (206) 547-1938
MARTIN CAHN MD PS
Family Medicine
3601 FREMONT AVE N, STE 309
SEATTLE, WA 98103
King County (206) 545-9300
JESSICA CHASE BUTTICE LMP
Massage Therapist
3601 FREMONT AVE N, SUITE 412
SEATTLE, WA 98103
King County (206) 853-1540
PACIFIC NORTHWEST PSYCHOLOGY SERVICES, LLC
Clinic/Center (Adult Mental Health)
3601 FREMONT AVE N, SUITE 412
SEATTLE, WA 98103
King County (206) 999-4587
ANDREA GENEVIEVE BECKWITH EAMP
Acupuncturist
3601 FREMONT AVE N, SUITE 412
SEATTLE, WA 98103
King County (360) 618-2870
AARON BULLINGTON
Naturopath
3601 FREMONT AVE N, SUITE 412
SEATTLE, WA 98103
King County (206) 659-8551
MR. ROBERT BRADLEY JONES LMP
Specialist
3601 FREMONT AVE N, STE. 412
SEATTLE, WA 98103
King County (206) 465-6138
DR. LISA WYSONG PARK DDS
Dentist (General Practice)
3601 FREMONT AVE N, 316
SEATTLE, WA 98103
King County (206) 675-0366

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 Lisa Park Dds & Simone Kim Dds's NPI number?

The NPI number for Lisa Park Dds & Simone Kim Dds is 1407001647. It was assigned to this organization in the NPPES registry on December 1, 2008. The provider is also known as Fremont Dental.

Where is Lisa Park Dds & Simone Kim Dds located?

Lisa Park Dds & Simone Kim Dds is located at 3601 Fremont Ave N Suite 316, Seattle, WA 98103. The listed phone number is (206) 675-0366.

What is Lisa Park Dds & Simone Kim Dds'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 Lisa Park Dds & Simone Kim Dds was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.