Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720125966 Individual Practitioner Male Practitioner

Dr. Phat T Ly , DMD

Dentist - General Practice • Ridgefield, WA

Professional Overview & Biography Verified Profile Summary

Dr. Phat Ly, DMD is a registered healthcare professional specializing in Dentist - General Practice in Ridgefield, WA. Practice services are available at 8507 S 5TH ST # A-101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8507 S 5th St # A-101

Ridgefield, WA 986423421

Telephone 3608872310
Fax 3608872309
Associated Practice Facility / Clinic
🏢 Phat Ly Dmd Pllc Facility NPI 1841958626

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ridgefield, WA

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

Practicing in Ridgefield, 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: 2021-12-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00010063

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
5047634 (WA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Joseph Sepe , DDS

Dentist - General Practice

NPI 1457484735

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 09, 2021

Registered at 8507 S 5TH ST # A-101, RIDGEFIELD, WA 986423421 (Tel: 3608872310)

📍
Updated Business Mailing Address December 09, 2021

Registered at 8507 S 5TH ST # A-101, RIDGEFIELD, WA 986423421 (Tel: 3608872310)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 7012 NE 40TH STREET, VANCOUVER, WA 986613052 (Tel: 3602545254)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7012 NE 40TH STREET, VANCOUVER, WA 986613052 (Tel: 3602545254)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PHAT LY, DMD

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

Dentist (License #DE00010063 in WA)

🟢
Initial NPI Registration & Enumeration January 30, 2007

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: 1720125966
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2007
Last Update: December 09, 2021
Sole Proprietor: No

Mailing Address

8507 S 5th St # A-101

Ridgefield, WA 986423421

Phone: 3608872310

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.