Dr. Ivy Fangyu Lin , DMD
Dentist • Seattle, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ivy Lin has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Ivy Lin, DMD was a registered Dentist practicing in Seattle, WA. Throughout an active medical career spanning 1 years, Dr. Lin provided care at the practice location at 1200 12TH AVE S STE 401 until profile deactivation on 2017-10-30.
Practice Location & Contact Primary Location
1200 12th Ave S Ste 401
Seattle, WA 981442730
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Seattle, WA
Practicing in Seattle, WA (2853 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2022-06-20NUCC Taxonomy Code: 122300000X
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Secondary Practice Locations
23320 Highway 99
Edmonds, WA 98026
Phone: 4256405500
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dental Hygienist
Registered Dental Hygienist
Dentist
Doctor of Dental Surgery
Dental Hygienist
Registered Dental Hygienist
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Nurse Practitioner - Family
Master of Science in Nursing, MPF, Family Nurse Practitioner (Certified)
Dental Hygienist
Registered Dental Hygienist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1200 12TH AVE S STE 401, SEATTLE, WA 981442730 (Tel: 2065485850)
Registered at 1200 12TH AVE S STE 901, SEATTLE, WA 981442712 (Tel: 2065483058)
Registered at 23320 HIGHWAY 99, EDMONDS, WA 980268744
Dentist (License #DE60857215 in WA)
Registered at 23320 HIGHWAY 99, EDMONDS, WA 98026 (Tel: 4256405500)
Registered at 4540 8TH AVE NE APT 2103, SEATTLE, WA 981051707 (Tel: 2065046342)
Dentist (License #DR60757597 in WA)
Record officially reactivated for active practice on November 13, 2017
Registered at 1959 NE PACIFIC STREET, SEATTLE, WA 98195 (Tel: 2065437496)
Registered at 1959 NE PACIFIC STREET, SEATTLE, WA 98195 (Tel: 2065437496)
Recorded as IVY LIN, D.M.D.
Student in an Organized Health Care Education/Training Program (License #DR60757597 in WA)
Record deactivated on October 30, 2017
NPI status registered as active in NPPES database
Registered at 1959 NE PACIFIC STREET, SEATTLE, WA 98195 (Tel: 2065437496)
Registered at 1959 NE PACIFIC STREET BOX 357134, UNIVERSITY OF WASHINGTON DEPARTMENT OF ORAL SURGERY, SEATTLE, WA 98195 (Tel: 2065437496)
Recorded as IVY LIN, D.M.D.
Student in an Organized Health Care Education/Training Program
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
Mailing Address
1200 12th Ave S Ste 901
Seattle, WA 981442712
Phone: 2065483058
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