CHUNG & KIM DDS PLLC NPI 1912367210

NPI Information

NPI: 1912367210
Provider Name: CHUNG & KIM, DDS, PLLC

Doing Business As: EVERYONE BY ONE-BELLEVUE

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1200 112TH AVE NE
STE B275
BELLEVUE, WA
ZIP 98004
Phone: (425) 289-1918
Get Directions

CHUNG & KIM, DDS, PLLC is a pediatric dentistry dentist in Bellevue, WA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CHUNG & KIM, DDS, PLLC NPI is 1912367210. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Everyone By One-bellevue.

The provider's business location address is:

1200 112TH AVE NE
STE B275
BELLEVUE, WA
ZIP 98004-732
Phone: (425) 289-1918
Fax: (425) 451-4029

The provider's authorized official is Stefany M Henderson .
The authorized official title is Business Office Manager and has the following contact phone number (425) 533-2655.

The enumeration date for this NPI number is 2/29/2016 and was last updated on 5/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DE60168936	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2056867	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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