BAJWA WONG PLLC
NPI 1407476484
Dentist in Issaquah, WA

Q: What is Bajwa Wong PLLC's NPI number?

The NPI number for Bajwa Wong PLLC is 1407476484. It was assigned to this organization in the NPPES registry on April 20, 2020. The provider is doing business as Eastside Modern Dentistry.

Q: What is Bajwa Wong PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Bajwa Wong PLLC was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 20, 2020

640 NW GILMAN BLVD STE 100, ISSAQUAH, WA 98027(425) 507-2888(425) 507-2887 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bajwa Wong Pllc NPPES

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

BAJWA WONG PLLC (NPI 1407476484), doing business as Eastside Modern Dentistry, is a healthcare organization registered as a dentist in Issaquah, Washington and active in the NPI registry since April 2020. The organization lists Sofia Segura, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1407476484

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameBAJWA WONG PLLC

Location Address640 NW GILMAN BLVD STE 100Issaquah, WA 98027-2476

Mailing Address640 Nw Gilman Blvd Ste 100Issaquah, WA 98027-2476 · (425) 507-2888 · Fax (425) 507-2887

Phone(425) 507-2888

Fax(425) 507-2887

Organization SubpartNo

Authorized OfficialSofia SeguraCredentialing Manager · (509) 901-2239

Enumeration DateApril 20, 2020

NPPES CertifiedApril 20, 2020

✔ NPI 1407476484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

640 NW GILMAN BLVD STE 100, Issaquah, WA 98027

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Other Names 1

Doing Business AsEastside Modern Dentistry

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

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 2

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

HARMANDEEP SINGH

Dentist

640 NW GILMAN BLVD STE 100
ISSAQUAH, WA 98027

King County (425) 507-2888

MANNAT K.DHILLON,DDS , PLLC

Dentist (General Practice)

640 NW GILMAN BLVD STE 100
ISSAQUAH, WA 98027

King County (425) 245-0229

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 Bajwa Wong PLLC's NPI number?

The NPI number for Bajwa Wong PLLC is 1407476484. It was assigned to this organization in the NPPES registry on April 20, 2020. The provider is doing business as Eastside Modern Dentistry.

Where is Bajwa Wong PLLC located?

Bajwa Wong PLLC is located at 640 NW Gilman Blvd Ste 100, Issaquah, WA 98027. The listed phone number is (425) 507-2888.

What is Bajwa Wong PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Bajwa Wong PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Bajwa Wong PLLC 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 Bajwa Wong PLLC was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.