LUIS VEGA DDS PLLC NPI 1073479663

NPI Information

  • NPI: 1073479663
  • Provider Name: LUIS VEGA, DDS, PLLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 6520 226TH PL SE STE 205
    ISSAQUAH, WA
    ZIP 98027
  • Phone: (425) 477-7723

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NPI Details

LUIS VEGA, DDS, PLLC is an oral and maxillofacial surgery dentist in Issaquah, WA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. LUIS VEGA, DDS, PLLC NPI is 1073479663. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6520 226TH PL SE STE 205
ISSAQUAH, WA
ZIP 98027-969
Phone: (425) 477-7723
Fax: (425) 477-7784

The provider's authorized official is Jennifer Heritage .
The authorized official title is Credentialing Manager and has the following contact phone number (402) 805-4516.

The enumeration date for this NPI number is 12/29/2025 and was last updated on 12/29/2025.

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
11223S0112XDentistOral and Maxillofacial SurgeryYes

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: 11/21/2025

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