Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912517228 Individual Practitioner Male Practitioner

Dr. Cosmo Yuchen Peng , DDS

Dentist - General Practice • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Dr. Cosmo Peng, DDS is a registered healthcare professional specializing in Dentist - General Practice in Vancouver, WA. Practice services are available at 19111 SE 34TH ST STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19111 Se 34th St Ste 104

Vancouver, WA 986831449

Telephone 3608230427
Associated Practice Facility / Clinic
🏢 Jacob D Groom Dmd Pllc Facility NPI 1699560300

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Vancouver, WA

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

Practicing in Vancouver, 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: 2023-02-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE61217627

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OR D11278

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

3 Associated Practitioners
NPI 1194071456

Doctor of Dental Medicine

Cheryl Lewis , RDH

Dental Hygienist

NPI 1275991143

Registered Dental Hygienist

Dr. Kirk Shillinger , DDS

Dentist - General Practice

NPI 1871697490

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location February 21, 2023

Registered at 19111 SE 34TH ST STE 104, VANCOUVER, WA 986831449 (Tel: 3608230427)

NPI Profile Active August 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2020

Registered at 2952 LAZY CREEK DR, MEDFORD, OR 975048182 (Tel: 5418417331)

📍
Updated Business Mailing Address August 03, 2020

Registered at 1062 NW DEERFERN LOOP, CAMAS, WA 986078689 (Tel: 3609213656)

👤
Provider Name / Credentials Updated August 03, 2020

Recorded as COSMO PENG, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2020

Dentist (License #D11278 in OR)

🟢
Initial NPI Registration & Enumeration August 03, 2020

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: 1912517228
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2020
Last Update: February 21, 2023
Sole Proprietor: No

Mailing Address

1062 Nw Deerfern Loop

Camas, WA 986078689

Phone: 3609213656

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.