MEDICARE: BELLTOWN SEATTLE DENTAL LLC

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	:	1740111400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLTOWN SEATTLE DENTAL LLC

Provider Business Mailing Address
First Line	:	2200 6TH AVE STE 104
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-1817
Country	:	US
Telephone Number	:	206-594-2321
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 6TH AVE STE 104
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-1817
Country	:	US
Telephone Number	:	206-594-2321
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. DANNY CHIANG
Credential	:	DMD
Telephone Number	:	206-594-2321

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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