OrganizationActive
South Seattle Dental
NPI 1790018976 · Dental Clinic/Center · Seattle, WA
South Seattle Dental is a Dental Clinic/Center organization in Seattle, WA (NPI 1790018976).
Provider details
- NPI number
- 1790018976
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Harry Lau, Owner(206) 772-6068
- License
- DE00010347 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 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
12616 Renton Ave S
Seattle, WA 98178-3711
Phone: (206) 772-6068
Fax: (206) 772-1231
Street-level locationGet directions
Mailing address
12616 Renton Ave S
Seattle, WA 98178-3711
Registry dates
- Enumerated
- 2009-09-06
- Last updated
- 2009-09-06
Frequently asked questions
- What is South Seattle Dental's NPI number?
- South Seattle Dental's National Provider Identifier (NPI) is 1790018976, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Seattle Dental?
- South Seattle Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Seattle Dental located?
- South Seattle Dental's practice location on file with NPPES is 12616 Renton Ave S, Seattle, WA 98178-3711.
- What is South Seattle Dental's phone number?
- The practice phone number listed in the NPPES registry for South Seattle Dental is (206) 772-6068.
- Who is the authorized official for South Seattle Dental?
- The authorized official listed on South Seattle Dental's NPPES record is Harry Lau, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Seattle Dental's NPI active?
- Yes — South Seattle Dental's NPI (1790018976) is active in the NPPES registry as of the last update on 2009-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.