Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649256074 Individual Practitioner Male Practitioner

Edwin Chung

Dentist - General Practice • Mountlake Terrace, WA

Professional Overview & Biography Verified Profile Summary

Edwin Chung is a registered healthcare professional specializing in Dentist - General Practice in Mountlake Terrace, WA. Practice services are available at 6505 216TH ST SW STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6505 216th St Sw Ste 200

Mountlake Terrace, WA 980436026

Telephone 8554336825
Associated Practice Facility / Clinic
🏢 Willamette Dental Facility NPI 1194143065

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mountlake Terrace, WA

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

Practicing in Mountlake Terrace, 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: 2020-10-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00009948

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.

Secondary Practice Locations

6101 200th St Sw Ste 201

Lynnwood, WA 980366077

Phone: 8554336825

2111 N Northgate Way Ste 100

Seattle, WA 981339018

Phone: 2063676015

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003268319

Doctor of Dental Medicine

Dr. Jefferson Gourley , DDS

Dentist - Endodontics

NPI 1003941170

Doctor of Dental Surgery

Dr. Jonathan Kim , DDS

Dentist - General Practice

NPI 1013568294

Doctor of Dental Surgery

NPI 1023520574

Doctor of Dental Surgery

Dr. Myriam Hamieh , DMD, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1023739224

Doctor of Dental Medicine, Master of Science

NPI 1023851755

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 27, 2020

Registered at 6505 216TH ST SW STE 200, MOUNTLAKE TERRACE, WA 980436026 (Tel: 8554336825)

NPI Profile Active May 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2015

Registered at 2111 N NORTHGATE WAY STE 100, SEATTLE, WA 981339018 (Tel: 2063676015)

📍
Updated Business Mailing Address May 16, 2015

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611

👤
Provider Name / Credentials Updated May 16, 2015

Recorded as EDWIN CHUNG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2015

Dentist (License #DE00009948 in WA)

🟢
Initial NPI Registration & Enumeration December 18, 2005

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: 1649256074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2005
Last Update: October 27, 2020
Sole Proprietor: No

Mailing Address

6950 Ne Campus Way

Hillsboro, OR 971245611

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.