OrganizationActive
Shawn Pham, DDS, PLLC.
NPI 1669240263 · Dental Clinic/Center · Lakewood, WA
Provider details
- NPI number
- 1669240263
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shawn Pham, Sole Member(253) 222-9269
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
10209 Bridgeport Way Sw Ste B10
Lakewood, WA 98499-2327
Phone: (253) 222-9269
Street-level locationGet directions
Mailing address
650 Duvall Ave Ne Apt R1323
Renton, WA 98059-4775
Other names (DBA / former)
- Doing business as
- Luna Dental
Registry dates
- Enumerated
- 2023-12-13
- Last updated
- 2023-12-13
- Certified
- 2023-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.