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WASHINGTON DENTAL FEDERAL WAY, LLC
NPI 1417506486
Dentist - General Practice in Federal Way, WA

Active since September 11, 2019
31515 PETE VON REICHBAUER WAY S UNIT 108, FEDERAL WAY, WA 98003(206) 592-2442 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Washington Dental Federal Way, Llc NPPES

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

WASHINGTON DENTAL FEDERAL WAY, LLC (NPI 1417506486), doing business as Wa Dental, is a healthcare organization registered as a general practice in Federal Way, Washington and active in the NPI registry since September 2019. The organization lists Yong Park, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417506486
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWASHINGTON DENTAL FEDERAL WAY, LLC
Location Address31515 PETE VON REICHBAUER WAY S UNIT 108Federal Way, WA 98003-5599
Mailing Address4040 Orchard St W Ste 200Fircrest, WA 98466-6615 · (253) 393-2700
Phone(206) 592-2442
Organization SubpartNo
Authorized OfficialYong ParkCeo · (206) 592-2442
Enumeration DateSeptember 11, 2019
✔ NPI 1417506486 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.
31515 PETE VON REICHBAUER WAY S UNIT 108, Federal Way, WA 98003
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Other Names 1

Doing Business AsWa 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 SINGLE SPECIALTY GROUP

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.

AUDREY NAM
Dentist
31515 PETE VON REICHBAUER WAY S UNIT 108
FEDERAL WAY, WA 98003
King County (253) 465-9189
ANGELA YANG DDS
Dentist
31515 PETE VON REICHBAUER WAY S UNIT 108
FEDERAL WAY, WA 98003
King County (253) 444-3010
YONGXI LIANG DMD
Dentist
31515 PETE VON REICHBAUER WAY S UNIT 108
FEDERAL WAY, WA 98003
King County (253) 444-3010

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 Federal Way, LLC's NPI number?

The NPI number for Washington Dental Federal Way, LLC is 1417506486. It was assigned to this organization in the NPPES registry on September 11, 2019. The provider is doing business as WA Dental.

Where is Washington Dental Federal Way, LLC located?

Washington Dental Federal Way, LLC is located at 31515 Pete Von Reichbauer Way S Unit 108, Federal Way, WA 98003. The listed phone number is (206) 592-2442.

What is Washington Dental Federal Way, LLC'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 Washington Dental Federal Way, LLC was last updated on September 11, 2019. 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.