DR. GRANT SHIH MING LO DDS
NPI 1619030160
Dentist - General Practice in Enumclaw, WA

Active since December 18, 2006
2617 GRIFFIN AVENUE, ENUMCLAW, WA 98022(360) 825-2191(360) 825-1830 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Grant Shih Ming Lo Dds NPPES

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

DR. GRANT SHIH MING LO DDS (NPI 1619030160) is an individual general practice provider in Enumclaw, Washington, licensed in Washington (9058) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1619030160
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GRANT SHIH MING LOCredential: DDS
Location Address2617 GRIFFIN AVENUEEnumclaw, WA 98022
Mailing Address2617 Griffin AvenueEnumclaw, WA 98022 · (360) 825-2191 · Fax (360) 825-1830
Fax(360) 825-1830
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1619030160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · 9058
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.
2617 GRIFFIN AVENUE, Enumclaw, WA 98022

Other Identifiers 1

Medicaid5043567WA

Accepted 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.

Dentist (General Practice)
2617 GRIFFIN AVENUE
ENUMCLAW, WA 98022
Dentist (General Practice)
2617 GRIFFIN AVENUE
ENUMCLAN, WA 98022

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 Grant Lo's NPI number?

The NPI number for Grant Lo is 1619030160. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Grant Lo located?

Grant Lo practices at 2617 Griffin Avenue, Enumclaw, WA 98022. The listed phone number is (360) 825-2191.

What is Grant Lo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Grant Lo accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Grant Lo 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 Grant Lo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.