LISA YU DDS PC (NPI# 1841571254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841571254 |
| Entity Type | Organization |
| Organization Name | LISA YU DDS PC |
| Other Organization Name | KIDS SMILE FACTORIA CHILDREN DENTISTRY |
| Practice Address |
12826 Se 40th Ln Ste 101 Bellevue WA 98006-5266 |
| Practice Telephone | 4256796826 |
| Practice Fax Number | 4256796234 |
| Mailing Telephone | 4256796826 |
| Mailing Fax Number | 4256796234 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |
| Authorized Official Name | DR. LISA EUISUK YU (PRESIDENT) |
| Authorized Official Telephone | 4256796826 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DE60025173 | WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| KIDS SMILE FACTORIA CHILDREN DENTISTRY | Doing Business As Name - Organization |
| Street Address |
12826 SE 40TH LN STE 101 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-5266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568848463 | Yu Ong | Dentist | 914 140th Ave Ne Ste 101, Bellevue, WA 98005-3482 | 2015-08-03 |
| 1508012063 | Sue Jeong Choi | Dentist | 5204 Somerset Dr Se, Bellevue, WA 98006-4259 | 2008-08-14 |
| 1922260793 | Sookyung Jun | Dentist | 1500 145th Pl Se, Bellevue, WA 98007-5516 | 2008-07-01 |
| 1568587897 | James Michael Thomas | Dentist | 1200 112th Ave Ne Ste C250, Bellevue, WA 98004-3741 | 2007-03-19 |
| 1427113141 | Todd B Krekow | Dentist | 11102 Ne 38th Pl, Bellevue, WA 98004-7653 | 2006-12-22 |
| 1871662544 | Jimmy S Yun | Dentist | 12600 Se 38th St Ste 110, Bellevue, WA 98006-5232 | 2006-11-07 |
| 1306926449 | Jenny Hee-jae Lee | Dentist | 2150 112 Ave Ne # A, Bellevue, WA 98004-2939 | 2006-10-16 |
| 1497866255 | Lawrence E Mast Dds Ps | Dentist | 2150 112 Ave Ne #a, Bellevue, WA 98004 | 2006-08-31 |
| 1003841347 | Alicia K Wong | Dentist | 914 140th Ave Ne, Suite 101, Bellevue, WA 98005-3482 | 2006-07-12 |
| 1144208505 | Russell F Paravecchio | Dentist | 705 136th Pl Ne, Bellevue, WA 98005-4722 | 2006-01-05 |
| Find all providers in BELLEVUE | ||||
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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.