VALLEY DENTAL GROUP (NPI# 1881788479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881788479 |
| Entity Type | Organization |
| Organization Name | VALLEY DENTAL GROUP |
| Practice Address |
17900 Talbot Rd. S. # 103 Renton WA 98055 |
| Practice Telephone | 4252711727 |
| Practice Fax Number | 4252711763 |
| Mailing Telephone | 4252711727 |
| Mailing Fax Number | 4252711763 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAULA KLEIN (OFFICE MANAGER) |
| Authorized Official Telephone | 4252711727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1223G0001X | WA | Dental Providers |
| Street Address |
17900 TALBOT RD. S. # 103 |
| City | RENTON |
| State | WA |
| Zip Code | 98055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205929940 | Doris Chan-lee | Dentist | 17900 Talbot Rd. S. # 103, Renton, WA 98055 | 2006-10-02 |
| 1487730669 | Robert Kane | Dentist | 17900 Talbot Rd. S. # 103, Renton, WA 98055 | 2006-10-31 |
| 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.