OrganizationActive
Bajwa Wong PLLC
NPI 1407476484 · Dentist · Issaquah, WA
Bajwa Wong PLLC is a Dentist organization in Issaquah, WA (NPI 1407476484).
Provider details
- NPI number
- 1407476484
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Sofia Segura, Credentialing Manager(509) 901-2239
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
640 Nw Gilman Blvd Ste 100
Issaquah, WA 98027-2476
Phone: (425) 507-2888
Fax: (425) 507-2887
Street-level locationGet directions
Mailing address
640 Nw Gilman Blvd Ste 100
Issaquah, WA 98027-2476
Other names (DBA / former)
- Doing business as
- Eastside Modern Dentistry
Registry dates
- Enumerated
- 2020-04-20
- Last updated
- 2020-04-20
- Certified
- 2020-04-20
Frequently asked questions
- What is Bajwa Wong PLLC's NPI number?
- Bajwa Wong PLLC's National Provider Identifier (NPI) is 1407476484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bajwa Wong PLLC?
- Bajwa Wong PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Bajwa Wong PLLC located?
- Bajwa Wong PLLC's practice location on file with NPPES is 640 Nw Gilman Blvd Ste 100, Issaquah, WA 98027-2476.
- What is Bajwa Wong PLLC's phone number?
- The practice phone number listed in the NPPES registry for Bajwa Wong PLLC is (425) 507-2888.
- Who is the authorized official for Bajwa Wong PLLC?
- The authorized official listed on Bajwa Wong PLLC's NPPES record is Sofia Segura, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bajwa Wong PLLC's NPI active?
- Yes — Bajwa Wong PLLC's NPI (1407476484) is active in the NPPES registry as of the last update on 2020-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.