Provider Demographics
NPI:1215743919
Name:XIAOYING DENG, DDS, PLLC
Entity type:Organization
Organization Name:XIAOYING DENG, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:XIAOYING
Authorized Official - Middle Name:
Authorized Official - Last Name:DENG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-517-0072
Mailing Address - Street 1:8553 INTERLAKE AVE N UNIT C
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4027
Mailing Address - Country:US
Mailing Address - Phone:718-517-0072
Mailing Address - Fax:
Practice Address - Street 1:1246 STATE AVE STE C
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-3694
Practice Address - Country:US
Practice Address - Phone:360-209-8744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental