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

Revive Smiles Dentistry, LLC

Organization Dental Clinic/Center · NPI 1184135881

Revive Smiles Dentistry, LLC is a Dental Clinic/Center in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

259 Yale Ave N
Seattle, WA 98109-5430
Phone: (206) 829-8565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 9084 (WA)

Record details

NPI number1184135881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bill Wong — Owner/Dds · (206) 829-8565
NPI enumeratedOctober 20, 2017
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021
Mailing address259 Yale Ave N, Seattle, WA 98109-5430

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