CHRIS J. LEE, DMD, CHRIS J. PARK, DDS, PLLC (NPI# 1245612423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245612423 |
| Entity Type | Organization |
| Organization Name | CHRIS J. LEE, DMD, CHRIS J. PARK, DDS, PLLC |
| Other Organization Name | MILESTONE DENTAL GROUP |
| Practice Address |
16330 Se 256th St Covington WA 98042-4233 |
| Mailing Address |
10610 Ne 9th Pl Unit 1103 Bellevue WA 98004-8640 |
| Practice Telephone | 2062453349 |
| Mailing Telephone | 2062453349 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |
| Authorized Official Name | DR. CHRISTOPHER JIN PARK (DENTIST) |
| Authorized Official Telephone | 2062453349 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DE60229142 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Milestone Dental Group | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CHRIS J. LEE, DMD, CHRIS J. PARK, DDS, PLLC | 16330 Se 256th St, Covington, WA 98042-4233 |
| Street Address |
16330 SE 256TH ST |
| City | COVINGTON |
| State | WA |
| Zip Code | 98042-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013203405 | Christopher Jin Park | Dentist | 16330 Se 256th St, Covington, WA 98042-4233 | 2011-06-23 |
| 1760830350 | Christine Do | Dentist | 16330 Se 256th St, Covington, WA 98042-4233 | 2016-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
| 1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
| 1104281526 | Kimberly Destefano | Licensed Practical Nurse | 27446 151st Pl Se, Kent, WA 98042 | 2015-12-30 |
| 1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
| 1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
| 1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
| Find all providers in zip 98042 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185096 | Dr. Raymond Poirrier Dds LLC | Clinic/Center | 1968 N Highway 190 Ste 11a, Covington, LA 70433-5158 | 2020-05-07 |
| 1851912711 | Covington Empower Orthodontics LLC - Dr Timothy M Poyadou Jr | Clinic/Center | 100 Tyler Sq Ste 4, Covington, LA 70433-3060 | 2020-05-01 |
| 1689184129 | Little P.C. | Clinic/Center | 13015 Brown Bridge Rd Ste 340&350, Covington, GA 30016-9111 | 2017-10-11 |
| 1548616501 | Andrew Higgins D.d.s, Pllc | Clinic/Center | 17327 Se 270th Pl, Suite 113, Covington, WA 98042-5451 | 2016-05-09 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| 1760098180 | Baptistakwokdds1,pllc | Clinic/Center | 17265 Se Wax Rd Ste 101, Covington, WA 98042-9102 | 2020-09-21 |
| 1093376865 | Fountain County Dentistry, LLC | Clinic/Center | 1302 Pearl St, Covington, IN 47932-9760 | 2019-06-24 |
| 1912434507 | Covington Dental Partners, LLC | Clinic/Center | 10115 Crown Ridge Dr, Covington, GA 30014-8700 | 2017-05-15 |
| 1568910040 | Applegate Dentistry | Clinic/Center | 324 Greenup St, Covington, KY 41011-1755 | 2016-09-14 |
| 1114384914 | Dale L Evans LLC | Clinic/Center | 2104 Newton Dr Ne, Covington, GA 30014-2456 | 2016-01-25 |
| Find all providers in COVINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.