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EVERETT ORAL AND IMPLANT SURGERY
NPI 1679197016
Dentist - Oral and Maxillofacial Surgery in Everett, WA

Active since June 02, 2020
1429 BROADWAY, EVERETT, WA 98201(425) 318-4789 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2022, Jul 11, 2022, Jun 2, 2020 (3 updates tracked since 2020).

About Everett Oral And Implant Surgery NPPES

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

EVERETT ORAL AND IMPLANT SURGERY (NPI 1679197016) is a healthcare organization registered as an oral and maxillofacial surgery in Everett, Washington and active in the NPI registry since June 2020. The organization maintains a secondary practice location in Mill Creek and lists Tae Lim Youn, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1679197016
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTAE YOUN DDS MD PLLC
Location Address1429 BROADWAYEverett, WA 98201-1719
Mailing Address1429 BroadwayEverett, WA 98201-1719 · (425) 318-4789
Phone(425) 318-4789
Organization SubpartNo
Authorized OfficialTae Lim YounOral Surgeon · (425) 318-4789
Enumeration DateJune 2, 2020
Last NPPES UpdateOctober 14, 20243 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
✔ NPI 1679197016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1429 BROADWAY, Everett, WA 98201
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Other Names 2

Doing Business AsEverett Oral And Implant Surgery
Doing Business AsMill Creek Oral And Implant Surgery

Secondary Practice Location 1

Location 115808 Mill Creek Blvd Ste 202Mill Creek, WA 98012-1500 · Phone (425) 318-4789

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, UnitedHealthcare.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.

DR. TAE LIM YOUN DDS, MD
Dentist (Oral and Maxillofacial Surgery)
1429 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 318-4789
MC ENDODONTICS
Dentist (Endodontics)
1429 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 212-1713

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 Tae Youn Dds MD PLLC's NPI number?

The NPI number for Tae Youn Dds MD PLLC is 1679197016. It was assigned to this organization in the NPPES registry on June 2, 2020. The provider is doing business as Everett Oral And Implant Surgery and Mill Creek Oral and Implant Surgery.

Where is Tae Youn Dds MD PLLC located?

Tae Youn Dds MD PLLC is located at 1429 Broadway, Everett, WA 98201. The listed phone number is (425) 318-4789.

What is Tae Youn Dds MD PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Tae Youn Dds MD PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Tae Youn Dds MD 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 Tae Youn Dds MD PLLC was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.