MEDICARE: DR. WEIYE LIN DMD

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	DD5043	NM
2	1223G0001X	General Practice Dentistry	7309	NV
3	1223G0001X	General Practice Dentistry	34073	TX
4	1223G0001X	General Practice Dentistry	DE61130683	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	34073	OTHER	TX	TEXAS LICENSE
2	DD5043	OTHER	NM	NEW MEXICO LICENSE

General Provider Information

NPI Number	:	1750877569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WEIYE LIN DMD

Provider Business Mailing Address
First Line	:	8129 LAKE BALLINGER WAY UNIT 101
Second Line	:
City	:	EDMONDS
State	:	WA
Zip	:	98026-9182
Country	:	US
Telephone Number	:	425-361-1343
Fax Number	:

Provider Business Practice Location Address
First Line	:	8129 LAKE BALLINGER WAY UNIT 101
Second Line	:
City	:	EDMONDS
State	:	WA
Zip	:	98026-9182
Country	:	US
Telephone Number	:	425-361-1343
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2018
Last Update Date	:	12/29/2025

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Directions to “ DR. WEIYE LIN DMD” Practice Location

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