ROBERT LY NPI 1265176432

NPI Information

NPI: 1265176432
Provider Name: ROBERT LY
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Address: 1959 NE PACIFIC STREET HEALTH SCIENCES BUILDING B-241 B
SEATTLE, WA
ZIP 98195
Phone: (206) 543-5860

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NPI Details

Robert Ly is an oral maxillofacial surgery in Seattle, WA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Robert Ly NPI is 1265176432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1959 NE PACIFIC STREET HEALTH SCIENCES BUILDING B-241 B
SEATTLE, WA
ZIP 98195-573
Phone: (206) 543-5860

The enumeration date for this NPI number is 4/25/2022 and was last updated on 7/1/2025.

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	License Number	License State	Primary
1	122300000X	Dentist	DDS110071	CALIFORNIA	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	204E00000X	Oral & Maxillofacial Surgery	DR61678626	WASHINGTON	Yes

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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