Healthcare Provider Details

I. General information

NPI: 1548067242
Provider Name (Legal Business Name): YUSHI CHEN D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4915 25TH AVENUE ( SEATTLE SPECIAL CARE DENTISTRY) STE 205
SEATTLE WA
98105
US

IV. Provider business mailing address

4915 25TH AVENUE ( SEATTLE SPECIAL CARE DENTISTRY) STE 205
SEATTLE WA
98105
US

V. Phone/Fax

Practice location:
  • Phone: 206-524-1600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: