Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265176432 Individual Practitioner Male Practitioner

Robert Ly

Oral & Maxillofacial Surgery • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Robert Ly is a registered healthcare professional specializing in Oral & Maxillofacial Surgery in Seattle, WA. Practice services are available at 1959 NE PACIFIC STREET HEALTH SCIENCES BUILDING B-241 B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1959 Ne Pacific Street Health Sciences Building B-241 B

Seattle, WA 981957573

Telephone 2065435860

Specialty Benchmarks & Practice Insights

Comparative analytics for Oral & Maxillofacial Surgery in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
40 Specialists

Practicing in Seattle, WA (74 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: 2025-07-01
Oral & Maxillofacial Surgery Primary Specialty

NUCC Taxonomy Code: 204E00000X

State License WA DR61678626

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Dentist

NUCC Taxonomy Code: 122300000X

State License CA DDS110071

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1501 Kings Hwy

Shreveport, LA 711034228

Phone: 3186260547

15628 Brookhurst St

Westminster, CA 926837573

Phone: 7148396300

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Christopher Benson , DDS

Oral & Maxillofacial Surgery

NPI 1205583721

Doctor of Dental Surgery

Aaron Hui

Oral & Maxillofacial Surgery

NPI 1366079972
Dr. Gabriel Colon Gonzalez , DMD

Oral & Maxillofacial Surgery

NPI 1386343002

Doctor of Dental Medicine

NPI 1568118495

Doctor of Dental Surgery

Dr. Thomas Dodson , DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1629050653

Doctor of Dental Medicine

NPI 1710446513

Doctor of Dental Medicine

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location July 01, 2025

Registered at 1959 NE PACIFIC STREET HEALTH SCIENCES BUILDING B-241 B, SEATTLE, WA 981957573 (Tel: 2065435860)

📍
Updated Business Mailing Address July 01, 2025

Registered at 402 N EUCLID ST, SANTA ANA, CA 927032414

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2025

Dentist (License #DDS110071 in CA)

📍
Updated Practice Location July 16, 2024

Registered at 15628 BROOKHURST ST, WESTMINSTER, CA 926837573 (Tel: 7148396300)

📍
Updated Business Mailing Address July 16, 2024

Registered at 15628 BROOKHURST ST, WESTMINSTER, CA 926837573

NPI Profile Active April 25, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2022

Registered at 1501 KINGS HWY, SHREVEPORT, LA 711034228 (Tel: 3186260547)

📍
Updated Business Mailing Address April 25, 2022

Registered at 1501 KINGS HWY, SHREVEPORT, LA 711034228

👤
Provider Name / Credentials Updated April 25, 2022

Recorded as ROBERT LY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 25, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Robert Ly. Be the first to share your experience!

Sign in to leave a review for Robert Ly

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1265176432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2022
Last Update: July 01, 2025
Sole Proprietor: Yes

Mailing Address

402 N Euclid St

Santa Ana, CA 927032414

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.