OrganizationActive
Federal Way Dental Clinic
NPI 1760936637 · Preferred Provider Organization · Federal Way, WA
Provider details
- NPI number
- 1760936637
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Yong Park, Owner(253) 839-8106
- License
- DE00009186 (WA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2016 S 320th St
Suite F
Federal Way, WA 98003-5453
Phone: (253) 839-8106
Fax: (253) 941-7989
Street-level locationGet directions
Mailing address
2016 S 320th St
Federal Way, WA 98003-5453
Registry dates
- Enumerated
- 2016-08-09
- Last updated
- 2016-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.