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Active NPI 1407912033 Individual Practitioner Male Practitioner

Dr. Phong Nghieu Bui , DDS

Dentist - General Practice • Renton, WA

Professional Overview & Biography Verified Profile Summary

Dr. Phong Bui, DDS is a registered healthcare professional specializing in Dentist - General Practice in Renton, WA. Practice services are available at 1640 DUVALL AVE NE STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1640 Duvall Ave Ne Ste 201

Renton, WA 980593985

Telephone 4252354950
Fax 4252354989
Associated Practice Facility / Clinic
🏢 Phong N Bui, Dds, Pllc Facility NPI 1417890799

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

CMS Verified: 2026-04-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00009093

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5040779 (WA)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 12, 2026

Registered at 1640 DUVALL AVE NE STE 201, RENTON, WA 980593985 (Tel: 4252354950)

📍
Updated Business Mailing Address April 12, 2026

Registered at 1640 DUVALL AVE NE STE 201, RENTON, WA 980593985 (Tel: 4252354950)

✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 626 120TH AVE NE STE B210, BELLEVUE, WA 980053038 (Tel: 4254531547)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611 (Tel: 5039522164)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PHONG BUI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DE00009093 in WA)

🟢
Initial NPI Registration & Enumeration December 28, 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: 1407912033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: April 12, 2026
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1640 Duvall Ave Ne Ste 201

Renton, WA 980593985

Phone: 4252354950

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.