MEDICARE: JOSEPH VAN MIEGHEM, 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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1023956000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH VAN MIEGHEM, DDS, PLLC

Provider Business Mailing Address
First Line	:	19718 68TH AVE W STE G
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-5965
Country	:	US
Telephone Number	:	425-778-6677
Fax Number	:	425-774-1258

Provider Business Practice Location Address
First Line	:	19718 68TH AVE W STE G
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-5965
Country	:	US
Telephone Number	:	425-778-6677
Fax Number	:	425-774-1258

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	RUBY YEUNG
Credential	:	YEUNG
Telephone Number	:	425-778-6677

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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