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IVY DENTAL FOR KIDS
NPI 1639381874
Dentist - General Practice in Lynnwood, WA

Active since May 03, 2007
18623 HWY 99, SUITE 210, LYNNWOOD, WA 98037(425) 275-9977(425) 275-9979 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ivy Dental For Kids NPPES

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

IVY DENTAL FOR KIDS (NPI 1639381874) is a healthcare organization registered as a general practice in Lynnwood, Washington and active in the NPI registry since May 2007. The organization lists Yoon Lee, Dentist, as its authorized official.

NPPES Registry Identity

NPI1639381874
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameIVY DENTAL FOR KIDS
Location Address18623 HWY 99, SUITE 210Lynnwood, WA 98037-4552
Mailing Address18623 Hwy 99, Suite 210Lynnwood, WA 98037-4552 · (425) 275-9977 · Fax (425) 275-9979
Phone(425) 275-9977
Fax(425) 275-9979
Organization SubpartNo
Authorized OfficialYoon LeeDentist · (425) 275-9977
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639381874 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 · 9491
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.
18623 HWY 99, Lynnwood, WA 98037
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Other Identifiers 1

Medicaid5041611WA

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

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

DR. YOON-SUK LEE D.D.S.
Dentist
18623 HWY 99, SUITE 210
LYNNWOOD, WA 98037
Snohomish County (425) 275-9977

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 Ivy Dental For Kids's NPI number?

The NPI number for Ivy Dental For Kids is 1639381874. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Ivy Dental For Kids located?

Ivy Dental For Kids is located at 18623 Hwy 99 Suite 210, Lynnwood, WA 98037. The listed phone number is (425) 275-9977.

What is Ivy Dental For Kids'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 Ivy Dental For Kids was last updated on August 22, 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.