SHANE YIN KOO DMD
NPI 1790669406
Dentist - General Practice in Tacoma, WA

Active since August 05, 2025
9900 LINCOLN ST 2ND FLOOR, TACOMA, WA 98431(253) 968-4079 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shane Yin Koo Dmd NPPES

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

SHANE YIN KOO DMD (NPI 1790669406) is an individual general practice provider in Tacoma, Washington, licensed in Florida (DN30451) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1790669406
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSHANE YIN KOOCredential: DMD
Location Address9900 LINCOLN ST 2ND FLOORTacoma, WA 98431-0001
Mailing Address930 Ross Loop Apt D403Dupont, WA 98327-9052 · (786) 202-5218
Sole ProprietorYes
Enumeration DateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
NPI 1790669406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN30451
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.

9900 LINCOLN ST 2ND FLOOR, Tacoma, WA 98431

Other Providers at the Same Location NPPES 4

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

Dentist
9900 LINCOLN ST 2ND FLOOR
TACOMA, WA 98431
Dentist
9900 LINCOLN ST 2ND FLOOR
TACOMA, WA 98431
Dentist
9900 LINCOLN ST 2ND FLOOR
TACOMA, WA 98431
Dentist
9900 LINCOLN ST 2ND FLOOR
TACOMA, WA 98431

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 Shane Koo's NPI number?

The NPI number for Shane Koo is 1790669406. It was assigned to this individual provider in the NPPES registry on August 5, 2025.

Where is Shane Koo located?

Shane Koo practices at 9900 Lincoln St 2nd Floor, Tacoma, WA 98431. The listed phone number is (253) 968-4079.

What is Shane Koo'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 Shane Koo was last updated on August 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.