MEDICARE: HB CHI, DDS. PLLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1154278117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HB CHI, DDS. PLLC.

Provider Business Mailing Address
First Line	:	7631 212TH ST SW # 112-C
Second Line	:
City	:	EDMONDS
State	:	WA
Zip	:	98026-7565
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7631 212TH ST SW # 112-C
Second Line	:
City	:	EDMONDS
State	:	WA
Zip	:	98026-7565
Country	:	US
Telephone Number	:	425-776-8353
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	HANBIT CHI
Credential	:
Telephone Number	:	253-345-0343

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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