Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619030160 Individual Practitioner Male Practitioner

Dr. Grant Shih Ming Lo , DDS

Dentist - General Practice • Enumclaw, WA

Professional Overview & Biography Verified Profile Summary

Dr. Grant Lo, DDS is a registered healthcare professional specializing in Dentist - General Practice in Enumclaw, WA. Practice services are available at 2617 GRIFFIN AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2617 Griffin Avenue

Enumclaw, WA 98022

Telephone 3608252191
Fax 3608251830
Associated Practice Facility / Clinic
🏢 Brent A Skovmand Dds Pc Facility NPI 1447329578

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Enumclaw, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Enumclaw, WA (3345 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 9058

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5043567 (WA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Brent Skovmand , DDS

Dentist - General Practice

NPI 1194894238

Doctor of Dental Surgery

Dr. Jeremy Koontz , DMD

Dentist - General Practice

NPI 1467059071

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2617 GRIFFIN AVENUE, ENUMCLAW, WA 98022 (Tel: 3608252191)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2617 GRIFFIN AVENUE, ENUMCLAW, WA 98022 (Tel: 3608252191)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GRANT LO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #9058 in WA)

🟢
Initial NPI Registration & Enumeration December 18, 2006

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: 1619030160
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2617 Griffin Avenue

Enumclaw, WA 98022

Phone: 3608252191

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.