M. CHO, DDS, PLLC (NPI# 1689166084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689166084 |
| Entity Type | Organization |
| Organization Name | M. CHO, DDS, PLLC |
| Other Organization Name | CRYSTAL DENTAL INC |
| Practice Address |
12644 164th Ave Se Renton WA 98059-6403 |
| Mailing Address |
2740 118th Ave Se Apt 102 Bellevue WA 98005-8130 |
| Practice Telephone | 4252824182 |
| Mailing Telephone | 9093626319 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | DR. MICHAEL SUNGYUN CHO (SOLE MEMBER) |
| Authorized Official Telephone | 9093626319 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DE60603860 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CRYSTAL DENTAL INC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | M. CHO, DDS, PLLC | 12644 164th Ave Se, Renton, WA 98059-6403 |
| Street Address |
12644 164TH AVE SE |
| City | RENTON |
| State | WA |
| Zip Code | 98059-6403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962824730 | Chris Joon Lee | Dentist | 12644 164th Ave Se, Renton, WA 98059-6403 | 2014-01-14 |
| 1225491517 | Ji-eun Choe | Dentist | 12644 164th Ave Se, Renton, WA 98059 | 2016-04-04 |
| 1770954760 | Michael Sungyun Cho | Dentist | 12644 164th Ave Se, Renton, WA 98059 | 2015-10-15 |
| 1184047466 | Crystal Dental Inc. | Dentist | 12644 164th Ave Se, Renton, WA 98059-6403 | 2014-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346724358 | Vanessa Sequeira | Massage Therapist | 13293 Newcastle Commons Dr, Newcastle, WA 98059 | 2018-09-17 |
| 1417477720 | Karen Apple | Behavior Technician | 13804 Se 76th Pl, Newcastle, WA 98059 | 2017-06-27 |
| 1992234256 | Justin Studer | Massage Therapist | 950 Field Ave Ne, Renton, WA 98059 | 2017-06-08 |
| 1770983306 | Pooja Walia Bhardwaj | Dentist | 6935 Coal Creek Pkwy Se, Newcastle, WA 98059 | 2014-09-02 |
| 1487799334 | Ai-lien Ngoc Sperry | Dentist | 4820 Ne 4th St, Suite A-108, Renton, WA 98059 | 2007-02-20 |
| 1225172711 | Vicki L Finesilver-quinn | Social Worker | 13741 148th Pl. Se, Renton, WA 98059 | 2007-02-16 |
| 1467511535 | Baljinder S Buttar | Dentist | 4501 Ne 4th St, Suite A, Renton, WA 98059 | 2006-12-06 |
| 1992892913 | Kevin Keith Kay | Dentist | 4444 Ne Sunset Blvd, Suite 3, Renton, WA 98059 | 2006-10-10 |
| 1194714790 | Dale E Epper Md | Family Medicine | 4444 Sunset Blvd, Dale E Epper Md Dba Highlands Family Practice, Renton, WA 98059 | 2005-10-17 |
| 1497219661 | Evelyn Faith Lafferty | Massage Therapist | 6985 Coal Creek Pkwy Se, Newcastle, WA 98059 | 2019-01-22 |
| Find all providers in zip 98059 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039731 | Consolidated Dental Three | Clinic/Center | 19221 108th Ave Se Ste 2, Renton, WA 98055-7369 | 2020-09-28 |
| 1336441617 | Mydentist Dental Center | Clinic/Center | 333 Rainier Ave N, Renton, WA 98057-5358 | 2010-11-19 |
| 1912194697 | Anna A. Danieli Dds Pllc | Clinic/Center | 1900 S Puget Dr Ste 102, Renton, WA 98055-4404 | 2007-09-26 |
| 1356560593 | Renton Denture Clinic LLC | Clinic/Center | 419 S 4th St, Renton, WA 98055-2541 | 2007-04-25 |
| 1578686325 | Dr Montel R Jenkins Dmd Ps | Clinic/Center | 212 Park Avenue North, Renton, WA 98057-5717 | 2007-04-09 |
| 1497360119 | May Creek Family Dentistry | Clinic/Center | 1620 Duvall Ave Ne, Renton, WA 98059-3975 | 2020-09-10 |
| 1902259237 | Ty M. Galvin, D.d.s. | Clinic/Center | 130 S 3rd Pl Ste 2, Renton, WA 98057-2439 | 2016-07-21 |
| 1366895823 | Robert K. Sekijima, Dds,ms,ps | Clinic/Center | 1620 Duvall Ave Ne Ste B, Renton, WA 98059-3975 | 2016-07-20 |
| 1134572605 | Hillcrest Dental | Clinic/Center | 4575 Ne 4th St, Suite #5, Renton, WA 98059-5054 | 2016-07-19 |
| 1619333853 | Marian T Lin Dds P S Inc | Clinic/Center | 1620 Duvall Ave Ne, Ste 200, Renton, WA 98059-3975 | 2016-01-04 |
| Find all providers in RENTON | ||||
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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.