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Active NPI 1548929821 Individual Practitioner Male Practitioner

Dr. Duong Dai Ly , DDS

Dentist • Centralia, WA

Professional Overview & Biography Verified Profile Summary

Dr. Duong Ly, DDS is a registered healthcare professional specializing in Dentist in Centralia, WA. Practice services are available at 1407 KRESKY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1407 Kresky Ave

Centralia, WA 985318979

Telephone 3607369397

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Centralia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Centralia, WA (2853 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-18
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE61464733

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License MN D14834

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License SD D1341

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1154414084

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 18, 2024

Registered at 1407 KRESKY AVE, CENTRALIA, WA 985318979 (Tel: 3607369397)

📍
Updated Business Mailing Address October 18, 2024

Registered at 1407 KRESKY AVE, CENTRALIA, WA 985318979 (Tel: 2066184496)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2023

Dentist (License #D14834 in MN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2022

Dentist (License #D1341 in SD)

NPI Profile Active December 14, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 14, 2021

Registered at 3307 7TH AVE SE STE 108, ABERDEEN, SD 574016614 (Tel: 6052778241)

📍
Updated Business Mailing Address December 14, 2021

Registered at 2521 S 279TH PL, FEDERAL WAY, WA 980036938 (Tel: 2066184496)

👤
Provider Name / Credentials Updated December 14, 2021

Recorded as DUONG LY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 14, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548929821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2021
Last Update: October 18, 2024
Sole Proprietor: Yes

Mailing Address

1407 Kresky Ave

Centralia, WA 985318979

Phone: 2066184496

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.