Healthcare Provider Details

I. General information

NPI: 1912847294
Provider Name (Legal Business Name): ERIC S YAO, DDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N 200TH ST
SHORELINE WA
98133-3330
US

IV. Provider business mailing address

1515 N 200TH ST
SHORELINE WA
98133-3330
US

V. Phone/Fax

Practice location:
  • Phone: 206-546-1611
  • Fax: 206-546-2804
Mailing address:
  • Phone: 206-546-1611
  • Fax: 206-546-2804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC YAO
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 206-546-1611