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Active NPI 1073606521 Individual Practitioner Male Practitioner

Dr. John Sackman , DDS

Dentist - General Practice • Renton, WA

Professional Overview & Biography Verified Profile Summary

Dr. John Sackman, DDS is a registered healthcare professional specializing in Dentist - General Practice in Renton, WA. Practice services are available at 17900 TALBOT RD. S. #103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17900 Talbot Rd. S. #103

Renton, WA 98055

Telephone 4252711727
Fax 4252711763
Associated Practice Facility / Clinic
🏢 Valley Dental Group Facility NPI 1881788479

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Renton, WA

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

Practicing in Renton, 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 DE00006301

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

3 Associated Practitioners
Doris Chan-Lee

Dentist - General Practice

NPI 1205929940
NPI 1518340686
Dr. Leigh Kenner , DDS

Dentist - General Practice

NPI 1558506097

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 July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 17900 TALBOT RD. S. #103, RENTON, WA 98055 (Tel: 4252711727)

📍
Updated Business Mailing Address July 09, 2007

Registered at 16260 NE 85TH ST, REDMOND, WA 980523528 (Tel: 4258836874)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JOHN SACKMAN, D.D.S.

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

Dentist (License #DE00006301 in WA)

🟢
Initial NPI Registration & Enumeration October 02, 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: 1073606521
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

16260 Ne 85th St

Redmond, WA 980523528

Phone: 4258836874

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.