Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639312499 Individual Practitioner Male Practitioner

Dr. Ryan T Koenig , DMD

Dentist - General Practice • Maple Valley, WA

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Koenig, DMD is a registered healthcare professional specializing in Dentist - General Practice in Maple Valley, WA. Practice services are available at 27016 MAPLE VALLEY - BLACK DIAMOND RD SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

27016 Maple Valley - Black Diamond Rd Se

Maple Valley, WA 98038

Telephone 4254138525
Fax 4254138599
Associated Practice Facility / Clinic
🏢 Peter W Jacobsen Dds Pllc Facility NPI 1053480988

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Maple Valley, WA

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

Practicing in Maple Valley, 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 DE00010648

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

2 Associated Practitioners
Dr. Thomas Holt , DDS

Dentist - General Practice

NPI 1225272719

Doctor of Dental Surgery

Dr. Michael Archuleta , DDS

Dentist - General Practice

NPI 1548336068

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 April 09, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2009

Registered at 27016 MAPLE VALLEY - BLACK DIAMOND RD SE, MAPLE VALLEY, WA 98038 (Tel: 4254138525)

📍
Updated Business Mailing Address April 09, 2009

Registered at 27016 MAPLE VALLEY - BLACK DIAMOND RD SE, MAPLE VALLEY, WA 98038 (Tel: 4254138525)

👤
Provider Name / Credentials Updated April 09, 2009

Recorded as RYAN KOENIG, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2009

Dentist (License #DE00010648 in WA)

🟢
Initial NPI Registration & Enumeration April 09, 2009

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: 1639312499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2009
Last Update: April 09, 2009
Sole Proprietor: No

Mailing Address

27016 Maple Valley - Black Diamond Rd Se

Maple Valley, WA 98038

Phone: 4254138525

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.