Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Park DDS & Simone Kim DDS

Organization General Practice Dentistry · NPI 1407001647

Lisa Park DDS & Simone Kim DDS is a General Practice Dentistry in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
Specialties on file
2

Practice location Address checks out

3601 Fremont Ave N Ste 316
Seattle, WA 98103-2709
Phone: (206) 675-0366
Fax: (206) 675-0466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 743094945 (WA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 743094948 (WA)

Record details

NPI number1407001647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simone Kim — Co-Owner · (206) 675-0366
Other names Fremont Dental
NPI enumeratedDecember 1, 2008
Last updated in NPPESDecember 1, 2008
Mailing address3601 Fremont Ave N, Suite 316, Seattle, WA 98103-2709

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