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Active NPI 1508946567 Individual Practitioner Male Practitioner

Dr. Kyle C Tanaka , DDS

Dentist - General Practice • Lynnwood, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Tanaka, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lynnwood, WA. Practice services are available at 19320 40TH AVE W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19320 40th Ave W
Suite A

Lynnwood, WA 980364602

Telephone 4257762126
Fax 4257762126
Associated Practice Facility / Clinic
🏢 Timothy W Robison Dds Ps Facility NPI 1134374804

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lynnwood, WA

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

Practicing in Lynnwood, 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 DE00010994

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

1 Associated Practitioners
Dr. Timothy Robison , DDS

Dentist - General Practice

NPI 1194815548

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active June 15, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2010

Registered at 19320 40TH AVE W, SUITE A, LYNNWOOD, WA 980364602 (Tel: 4257762126)

📍
Updated Business Mailing Address June 15, 2010

Registered at 19320 40TH AVE W, SUITE A, LYNNWOOD, WA 980364602 (Tel: 4257762126)

👤
Provider Name / Credentials Updated June 15, 2010

Recorded as KYLE TANAKA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2010

Dentist (License #DE00010994 in WA)

🟢
Initial NPI Registration & Enumeration October 16, 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: 1508946567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2006
Last Update: June 15, 2010
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

19320 40th Ave W, Suite A

Lynnwood, WA 980364602

Phone: 4257762126

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.