DR. TAE LIM YOUN DDS MD NPI 1275858169

NPI Information

NPI: 1275858169
Provider Name: DR. TAE LIM YOUN, DDS, MD
Classification: Dentist - 1223S0112X
Specialization: Oral and Maxillofacial Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 1429 BROADWAY
EVERETT, WA
ZIP 98201
Phone: (425) 318-4789

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NPI Details

DR. Tae Lim Youn, DDS, MD is an oral and maxillofacial surgery dentist in Everett, 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. DR. Tae Lim Youn, DDS, MD NPI is 1275858169. 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:

1429 BROADWAY
EVERETT, WA
ZIP 98201-719
Phone: (425) 318-4789

The NPI 1275858169 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/2/2010 and was last updated on 10/14/2024.

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	1223S0112X	Dentist	Oral and Maxillofacial Surgery	MD60644029	WASHINGTON	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	58655	CALIFORNIA	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DE60634547	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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