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SHAWN PHAM, DDS, PLLC.
NPI 1669240263
Clinic/Center - Dental in Lakewood, WA

Active since December 13, 2023
10209 BRIDGEPORT WAY SW STE B10, LAKEWOOD, WA 98499(253) 222-9269 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shawn Pham, Dds, Pllc. NPPES

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

SHAWN PHAM, DDS, PLLC. (NPI 1669240263), doing business as Luna Dental, is a healthcare organization registered as a dental in Lakewood, Washington and active in the NPI registry since December 2023. The organization lists Shawn Pham, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1669240263
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSHAWN PHAM, DDS, PLLC.
Location Address10209 BRIDGEPORT WAY SW STE B10Lakewood, WA 98499-2327
Mailing Address650 Duvall Ave Ne Apt R1323Renton, WA 98059-4775 · (253) 222-9269
Phone(253) 222-9269
Organization SubpartNo
Authorized OfficialShawn PhamSole Member · (253) 222-9269
Enumeration DateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
✔ NPI 1669240263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
10209 BRIDGEPORT WAY SW STE B10, Lakewood, WA 98499
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Other Names 1

Doing Business AsLuna Dental

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 Shawn Pham, Dds, PLLC.'s NPI number?

The NPI number for Shawn Pham, Dds, PLLC. is 1669240263. It was assigned to this organization in the NPPES registry on December 13, 2023. The provider is doing business as Luna Dental.

Where is Shawn Pham, Dds, PLLC. located?

Shawn Pham, Dds, PLLC. is located at 10209 Bridgeport Way SW Ste B10, Lakewood, WA 98499. The listed phone number is (253) 222-9269.

What is Shawn Pham, Dds, PLLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Shawn Pham, Dds, PLLC. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Shawn Pham, Dds, 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 Shawn Pham, Dds, PLLC. was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.