MEDICARE: GREG C WU, 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	:	1215885454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREG C WU, DDS, PLLC

Provider Business Mailing Address
First Line	:	450 NW GILMAN BLVD STE 103
Second Line	:
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-2483
Country	:	US
Telephone Number	:	425-392-7541
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 NW GILMAN BLVD STE 103
Second Line	:
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-2483
Country	:	US
Telephone Number	:	425-392-7541
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ DENTIST
Name	:	GREG C WU
Credential	:	DDS
Telephone Number	:	425-392-7541

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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