OrganizationActive
South Center Pediatric Dentistry and Orthodontics LLC
NPI 1275996191 · Pediatric Dentistry · Tukwila, WA
Provider details
- NPI number
- 1275996191
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mahadeep Virk, Owner Operator(206) 575-2556
- License
- 603591381 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
505 Strander Blvd
Tukwila, WA 98188-2920
Phone: (206) 575-2556
Fax: (253) 604-0598
Street-level locationGet directions
Mailing address
505 Strander Blvd
Tukwila, WA 98188-2920
Other names (DBA / former)
- Doing business as
- South Center Pediatric Dentistry and Orthodontic
Registry dates
- Enumerated
- 2016-03-29
- Last updated
- 2016-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.