Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790669406 Individual Practitioner Male Practitioner

Dr. Shane Yin Koo , DMD

Dentist - General Practice • Tacoma, WA

Professional Overview & Biography Verified Profile Summary

Dr. Shane Koo, DMD is a registered healthcare professional specializing in Dentist - General Practice in Tacoma, WA. Practice services are available at 9900 LINCOLN ST 2ND FLOOR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9900 Lincoln St 2nd Floor

Tacoma, WA 984310001

Telephone 2539684079

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tacoma, WA

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

Practicing in Tacoma, 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: 2025-08-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN30451

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

25 Associated Practitioners
Dr. Trevor Miller , DDS

Dentist - Oral and Maxillofacial Pathology

NPI 1124389507

Doctor of Dental Surgery

NPI 1124802434
NPI 1144111972

Doctor of Dental Medicine

NPI 1154167823

Doctor of Dental Surgery

NPI 1164140315

Doctor of Dental Surgery

NPI 1164898532

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 August 05, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2025

Registered at 9900 LINCOLN ST 2ND FLOOR, TACOMA, WA 984310001 (Tel: 2539684079)

📍
Updated Business Mailing Address August 05, 2025

Registered at 930 ROSS LOOP APT D403, DUPONT, WA 983279052 (Tel: 7862025218)

👤
Provider Name / Credentials Updated August 05, 2025

Recorded as SHANE KOO, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2025

Dentist (License #DN30451 in FL)

🟢
Initial NPI Registration & Enumeration August 05, 2025

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 Dr. Shane Koo. Be the first to share your experience!

Sign in to leave a review for Dr. Shane Koo

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

NPI Administrative Meta

NPI Number: 1790669406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2025
Last Update: August 05, 2025
Sole Proprietor: Yes

Mailing Address

930 Ross Loop Apt D403

Dupont, WA 983279052

Phone: 7862025218

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.