WONG HSU ON SU & LIAO DDS PLLC (NPI# 1558768739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558768739 |
| Entity Type | Organization |
| Organization Name | WONG HSU ON SU & LIAO DDS PLLC |
| Other Organization Name | RENTON DENTAL PROFESSIONALS |
| Practice Address |
601 S Carr Rd Suite 400 Renton WA 98055-5866 |
| Practice Telephone | 4252281033 |
| Practice Fax Number | 4252262308 |
| Mailing Telephone | 4252281033 |
| Mailing Fax Number | 4252262308 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |
| Authorized Official Name | DR. CINDY ON (OWNER) |
| Authorized Official Telephone | 2062344179 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Renton Dental Professionals | Doing Business As Name - Organization |
| Street Address |
601 S CARR RD SUITE 400 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295732113 | Sonja Maddox | Family Medicine | 601 S Carr Rd, Suite 100, Renton, WA 98055-5866 | 2005-07-07 |
| 1073860854 | Michael C Johnson | Dentist | 601 S Carr Rd, Suite 300, Renton, WA 98055-5866 | 2012-08-10 |
| 1215206586 | Laboratory Corporation of America | Clinical Medical Laboratory | 601 S Carr Rd, Renton, WA 98055-5866 | 2011-12-15 |
| 1144519539 | Maureen Burns | Physical Therapy Assistant | 601 S Carr Rd, Renton, WA 98055-5866 | 2011-04-06 |
| 1073821286 | Benjamin Reed Johnson | Dentist | 601 S Carr Rd, Suite 300, Renton, WA 98055-5866 | 2010-09-22 |
| 1033232095 | Arkadiy B. Tkachev | Family Medicine | 601 S Carr Rd, Suite 100, Renton, WA 98055-5866 | 2007-04-06 |
| 1710022314 | Dynacare Northwest | Clinical Medical Laboratory | 601 S Carr Rd, Suite 110, Renton, WA 98055-5866 | 2007-02-21 |
| 1912065889 | David Laverne Burkebile | Pediatrics | 601 S Carr Rd, Suite 420, Renton, WA 98055-5866 | 2006-12-04 |
| 1598830010 | Stuart Allen Vendeland | Dentist | 601 S Carr Rd, Suite 400, Renton, WA 98055-5866 | 2006-11-21 |
| 1316036502 | Lan Alice Chen | Dentist | 601 S Carr Rd, Suite 400, Renton, WA 98055-5866 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639799471 | Fairwood Dental LLC | Dentist | 14250 Se 176th #j7, Renton, WA 98058 | 2020-04-22 |
| 1134775042 | Kristi Lynn Pedersen | Dentist | 17816 108th Ave Se, Renton, WA 98055-6419 | 2019-08-15 |
| 1932674330 | Andi Liou | Dentist | 4625 Ne 3rd Ln Unit G4, Renton, WA 98059-5272 | 2018-10-11 |
| 1336621549 | Xuelian Huang | Dentist | 525 Park Ave N Ste B, Renton, WA 98057-5522 | 2018-09-04 |
| 1093292385 | Charles Wenchao Hu | Dentist | 17220 140th Ave Se Ste C, Renton, WA 98058-7000 | 2018-07-19 |
| 1992157838 | Suzanna Bonard Mcaninley | Dentist | 955 Park Ave N, Suite D, Renton, WA 98057-5560 | 2016-07-04 |
| 1619250016 | Sam D.k. Kim, Dmd, Pllc | Dentist | 1412 Sw 43rd St Ste 109, Renton, WA 98057-4803 | 2011-09-21 |
| 1447554209 | Daniel Y.go, D.d.s., P.s. | Dentist | 1002 Park Ave N, Suite K, Renton, WA 98057-5632 | 2011-01-07 |
| 1144533316 | Steven L. Paige Dds & Kenza Houki Dmd Renton Pllc | Dentist | 3900 East Valley Rd. Suite 203, Renton, WA 98057 | 2010-07-16 |
| 1730315375 | Homayoon Fotovatjah | Dentist | 1314 Union Ave Ne, #8, Renton, WA 98059-3959 | 2009-06-10 |
| Find all providers in RENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.