PACIFIC DENTAL & DENTURE CLINIC,INC (NPI# 1619411568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619411568 |
| Entity Type | Organization |
| Organization Name | PACIFIC DENTAL & DENTURE CLINIC,INC |
| Other Organization Name | PACIFIC DENTAL & DENTURE CLINIC |
| Practice Address |
33505 Pacific Hwy S Federal Way WA 98003-6809 |
| Practice Telephone | 2538158850 |
| Practice Fax Number | 2538158501 |
| Mailing Telephone | 2538158850 |
| Mailing Fax Number | 2538158501 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Authorized Official Name | DUSIK JUNG (OWNER/DENTURIST) |
| Authorized Official Telephone | 2538158500 |
| Authorized Official Credential | DN00000137 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PACIFIC DENTAL & DENTURE CLINIC | Doing Business As Name - Organization |
| Street Address |
33505 PACIFIC HWY S |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-6809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235257528 | Du Sik Jung | Specialist | 33505 Pacific Hwy S, Federal Way, WA 98003-6809 | 2007-03-26 |
| 1205357290 | Christina Dahee Jeong | Dentist | 33505 Pacific Hwy S, Federal Way, WA 98003-6809 | 2017-06-29 |
| 1053691295 | Sung Youn Han | Dentist | 33505 Pacific Hwy S, Federal Way, WA 98003-6809 | 2011-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438049 | N.i.solovjov, Dds, Pllc | Clinic/Center | 32225 Pacific Hwy S Ste 102, Federal Way, WA 98003-6017 | 2019-10-09 |
| 1043753932 | Zan Xu Dds Pllc | Clinic/Center | 33516 9th Ave S Ste 4, Federal Way, WA 98003-6322 | 2016-11-23 |
| 1962732099 | James Wee, Dds, Inc. | Clinic/Center | 32114 1st Ave S Ste 100, Federal Way, WA 98003-5760 | 2010-01-13 |
| 1902439912 | Kwan Lee Dds Pllc | Clinic/Center | 34616 11th Pl S Ste 4, Federal Way, WA 98003-8705 | 2020-02-18 |
| 1003448820 | Eid, Jaber, Jassar, Pllc | Clinic/Center | 32105 1st Ave S, Federal Way, WA 98003-5719 | 2020-02-10 |
| 1104470459 | Marta Becker Dds, Pllc | Clinic/Center | 33915 1st Way S Ste 100, Federal Way, WA 98003-6396 | 2019-07-25 |
| 1134685589 | Wayne E. Svoboda Dds PC | Clinic/Center | 32105 1st Ave S Ste B3, Federal Way, WA 98003-5719 | 2019-02-11 |
| 1700336708 | Sea Mar Community Health Centers | Clinic/Center | 31405 18th Ave S, Federal Way, WA 98003-5433 | 2016-10-13 |
| 1881149326 | Seatac Family Dental Care | Clinic/Center | 1826 S 324th Pl, Federal Way, WA 98003-8505 | 2016-08-24 |
| 1518380476 | J.d.martini, Dmd, Ps | Clinic/Center | 34507 Pacific Hwy S, Ste 9, Federal Way, WA 98003-6879 | 2014-01-29 |
| Find all providers in FEDERAL WAY | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
Please comment or provide details below to improve the information on PACIFIC DENTAL & DENTURE CLINIC,INC.
| 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.