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SOUTH SEATTLE DENTAL
NPI 1790018976
Clinic/Center - Dental in Seattle, WA

Active since September 06, 2009
12616 RENTON AVE S, SEATTLE, WA 98178(206) 772-6068(206) 772-1231 Get Directions Write a Review

NPPES record last updated: September 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Seattle Dental NPPES

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

SOUTH SEATTLE DENTAL (NPI 1790018976) is a healthcare organization registered as a dental in Seattle, Washington and active in the NPI registry since September 2009. The organization lists Harry Lau, Owner, as its authorized official.

NPPES Registry Identity

NPI1790018976
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTH SEATTLE DENTAL
Location Address12616 RENTON AVE SSeattle, WA 98178-3711
Mailing Address12616 Renton Ave SSeattle, WA 98178-3711 · (206) 772-6068 · Fax (206) 772-1231
Phone(206) 772-6068
Fax(206) 772-1231
Organization SubpartNo
Authorized OfficialHarry LauOwner · (206) 772-6068
Enumeration DateSeptember 6, 2009
✔ NPI 1790018976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in WA · DE00010347
12616 RENTON AVE S, Seattle, WA 98178
Open in Google Maps ↗

Other Identifiers 1

Medicaid5054291WA

Other Providers at the Same Location NPPES 3

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

DR. HARRY HON-LIN LAU DDS
Dentist (General Practice)
12616 RENTON AVE S
SEATTLE, WA 98178
King County (206) 772-6068
DR. SAMRUDHI PRAKASH NAKHWA DDS
Dentist (General Practice)
12616 RENTON AVE S
SEATTLE, WA 98178
King County (206) 280-4582
A&H STORES INC.
Pharmacy (Community/Retail Pharmacy)
12616 RENTON AVE S
SEATTLE, WA 98178
King County (425) 255-7083

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 South Seattle Dental's NPI number?

The NPI number for South Seattle Dental is 1790018976. It was assigned to this organization in the NPPES registry on September 6, 2009.

Where is South Seattle Dental located?

South Seattle Dental is located at 12616 Renton Ave S, Seattle, WA 98178. The listed phone number is (206) 772-6068.

What is South Seattle Dental's specialty?

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

When was this NPI record last updated?

The NPPES record for South Seattle Dental was last updated on September 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.