Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053492769 Individual Practitioner Female Practitioner

Dr. Rui Li , DDS

Dentist • Everett, WA

Professional Overview & Biography Verified Profile Summary

Dr. Rui Li, DDS is a registered healthcare professional specializing in Dentist in Everett, WA. Practice services are available at 1019 112TH ST SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1019 112th St Sw

Everett, WA 982044875

Telephone 4255516001
Fax 4255516009
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Everett, WA

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

Practicing in Everett, 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: 2026-02-23
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE00009836

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5045828 (WA)

Practice Associates & Co-Workers

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

13 Associated Practitioners
Eva Torres , RDH

Dental Hygienist

NPI 1184889487

Registered Dental Hygienist

Hiruy Gebrewold , RDH

Dental Hygienist

NPI 1487008462

Registered Dental Hygienist

Dr. Jacob Kefgen , DDS

Dentist - General Practice

NPI 1508265992

Doctor of Dental Surgery

Ran Tao , RDH

Dental Hygienist

NPI 1548867302

Registered Dental Hygienist

Aneka Vo

Dentist - General Practice

NPI 1629641675
NPI 1710298427

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 23, 2026

Registered at 1019 112TH ST SW, EVERETT, WA 982044875 (Tel: 4255516001)

📍
Updated Business Mailing Address February 23, 2026

Registered at 1019 112TH ST SW, EVERETT, WA 982044875 (Tel: 4255516001)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 4111 194TH ST SW, LYNNWOOD, WA 980364604 (Tel: 4258355204)

📍
Updated Business Mailing Address July 09, 2007

Registered at 4111 194TH ST SW, LYNNWOOD, WA 980364604 (Tel: 4258355204)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as RUI LI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #DE00009836 in WA)

🟢
Initial NPI Registration & Enumeration October 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: 1053492769
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2006
Last Update: February 23, 2026
Sole Proprietor: No

Mailing Address

1019 112th St Sw

Everett, WA 982044875

Phone: 4255516001

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.