OrganizationActive
Great Wall Clinic
NPI 1184952079 · Dental Clinic/Center · Kent, WA
Great Wall Clinic is a Dental Clinic/Center organization in Kent, WA (NPI 1184952079).
Provider details
- NPI number
- 1184952079
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ephraim Rollolazo, Office Manager(425) 656-9025
- License
- DE00007365 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18230 E Valley Hwy
168
Kent, WA 98032-1259
Phone: (425) 656-9025
Street-level locationGet directions
Mailing address
18230 E Valley Hwy
Kent, WA 98032-1259
Registry dates
- Enumerated
- 2009-12-03
- Last updated
- 2009-12-03
Frequently asked questions
- What is Great Wall Clinic's NPI number?
- Great Wall Clinic's National Provider Identifier (NPI) is 1184952079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Wall Clinic?
- Great Wall Clinic is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Great Wall Clinic located?
- Great Wall Clinic's practice location on file with NPPES is 18230 E Valley Hwy, Kent, WA 98032-1259.
- What is Great Wall Clinic's phone number?
- The practice phone number listed in the NPPES registry for Great Wall Clinic is (425) 656-9025.
- Who is the authorized official for Great Wall Clinic?
- The authorized official listed on Great Wall Clinic's NPPES record is Ephraim Rollolazo, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Wall Clinic's NPI active?
- Yes — Great Wall Clinic's NPI (1184952079) is active in the NPPES registry as of the last update on 2009-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.