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JUANITA KIDS DENTISTRY
NPI 1497248017
Dentist - Pediatric Dentistry in Kirkland, WA

Active since June 08, 2018
9707 NE 119TH WAY, KIRKLAND, WA 98034(425) 310-8338(425) 449-5933 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Juanita Kids Dentistry NPPES

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

JUANITA KIDS DENTISTRY (NPI 1497248017) is a healthcare organization registered as a pediatric dentistry in Kirkland, Washington and active in the NPI registry since June 2018. The organization lists Jinju Song, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1497248017
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJINJU SONG DMD PLLC
Location Address9707 NE 119TH WAYKirkland, WA 98034-8955
Mailing Address9707 Ne 119th WayKirkland, WA 98034-8955 · (425) 310-8338 · Fax (425) 449-5933
Phone(425) 310-8338
Fax(425) 449-5933
Organization SubpartNo
Authorized OfficialJinju SongOwner/doctor · (425) 310-8338
Enumeration DateJune 8, 2018
✔ NPI 1497248017 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 · DE60300517
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.
9707 NE 119TH WAY, Kirkland, WA 98034
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Other Names 1

Doing Business AsJuanita Kids Dentistry

Other Identifiers 2

Other1255644316Individual Npi
OtherDE60300517WA · License

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 ›

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 Jinju Song Dmd PLLC's NPI number?

The NPI number for Jinju Song Dmd PLLC is 1497248017. It was assigned to this organization in the NPPES registry on June 8, 2018. The provider is doing business as Juanita Kids Dentistry.

Where is Jinju Song Dmd PLLC located?

Jinju Song Dmd PLLC is located at 9707 NE 119th Way, Kirkland, WA 98034. The listed phone number is (425) 310-8338.

What is Jinju Song Dmd PLLC's specialty?

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

What insurance does Jinju Song Dmd PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jinju Song Dmd 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 Jinju Song Dmd PLLC was last updated on June 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.