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WASHINGTON DENTAL CORPORATION, PC
NPI 1619635877
Dentist - General Practice in Seattle, WA

Active since December 06, 2021
4722 FAUNTLEROY WAY SW STE A, SEATTLE, WA 98116(206) 928-6242(206) 973-8794 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Washington Dental Corporation, Pc NPPES

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

WASHINGTON DENTAL CORPORATION, PC (NPI 1619635877), doing business as Dentists Of West Seattle, is a healthcare organization registered as a general practice in Seattle, Washington and active in the NPI registry since December 2021. The organization lists Kimberly Bolak, Owner, as its authorized official.

NPPES Registry Identity

NPI1619635877
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWASHINGTON DENTAL CORPORATION, PC
Location Address4722 FAUNTLEROY WAY SW STE ASeattle, WA 98116-4667
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (303) 952-0892
Phone(206) 928-6242
Fax(206) 973-8794
Organization SubpartNo
Authorized OfficialKimberly BolakOwner · (206) 928-6242
Enumeration DateDecember 6, 2021
NPPES CertifiedDecember 6, 2021
✔ NPI 1619635877 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.
4722 FAUNTLEROY WAY SW STE A, Seattle, WA 98116
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Other Names 1

Doing Business AsDentists Of West Seattle

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 6

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

DR. JACOB HYUNWOO LEE DMD
Dentist (General Practice)
4722 FAUNTLEROY WAY SW STE A
SEATTLE, WA 98116
King County (206) 752-8761
DR. COOPER FRANCIS BOLAK DDS
Dentist (General Practice)
4722 FAUNTLEROY WAY SW STE A
SEATTLE, WA 98116
King County (206) 928-6242
CHARLENE TSOU
Dentist (General Practice)
4722 FAUNTLEROY WAY SW STE A
SEATTLE, WA 98116
King County (516) 562-2296
JI WON KANG DMD
Dentist
4722 FAUNTLEROY WAY SW STE A
SEATTLE, WA 98116
King County (206) 928-6242
CHRISTOPHER JOHN CONSER DDS, MD
Dentist (Oral and Maxillofacial Surgery)
4722 FAUNTLEROY WAY SW STE A
SEATTLE, WA 98116
King County (206) 928-6242
DR. JOYCE LYNETTE NIMMO DMD
Dentist (General Practice)
4722 FAUNTLEROY WAY SW STE A
SEATTLE, WA 98116
King County (206) 928-6242

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 Corporation, PC's NPI number?

The NPI number for Washington Dental Corporation, PC is 1619635877. It was assigned to this organization in the NPPES registry on December 6, 2021. The provider is doing business as Dentists of West Seattle.

Where is Washington Dental Corporation, PC located?

Washington Dental Corporation, PC is located at 4722 Fauntleroy Way SW Ste A, Seattle, WA 98116. The listed phone number is (206) 928-6242.

What is Washington Dental Corporation, PC's specialty?

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

What insurance does Washington Dental Corporation, PC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Washington Dental Corporation, PC 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 Washington Dental Corporation, PC was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.