Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528824117 Individual Practitioner Male Practitioner

Dr. Michael Ian Suk , DDS

Dentist - General Practice • Longview, WA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Suk, DDS is a registered healthcare professional specializing in Dentist - General Practice in Longview, WA. Practice services are available at 1057 12TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1057 12th Ave

Longview, WA 986322509

Telephone 3604141300
Fax 3606364420
Associated Practice Facility / Clinic
🏢 Cowlitz Family Health Center Facility NPI 1891724506

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Longview, WA

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

Practicing in Longview, 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

CMS Verified: 2024-07-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE61560522

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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1073079984

DENTALHYGIENIST

Dr. Justin Tan , DDS

Dentist - General Practice

NPI 1235536475

Doctor of Dental Surgery

Dr. Serena Xu , DDS

Dentist - General Practice

NPI 1356107288

Doctor of Dental Surgery

Dr. Roxane Oshiro , DDS

Dentist - General Practice

NPI 1396781936

Doctor of Dental Surgery

Dr. Ariel Park , DMD

Dentist - General Practice

NPI 1619524857

Doctor of Dental Medicine

Dr. Lee Hermen , DDS

Dentist - General Practice

NPI 1649336470

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 24, 2024

Registered at 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3604141300)

📍
Updated Business Mailing Address July 24, 2024

Registered at 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3602617848)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2024

Dentist (License #DE61560522 in WA)

NPI Profile Active February 22, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2024

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981950001 (Tel: 2065430903)

📍
Updated Business Mailing Address February 22, 2024

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981956365 (Tel: 2065430903)

👤
Provider Name / Credentials Updated February 22, 2024

Recorded as MICHAEL SUK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 22, 2024

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: 1528824117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2024
Last Update: July 24, 2024
Sole Proprietor: Yes

Mailing Address

1057 12th Ave

Longview, WA 986322509

Phone: 3602617848

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.