Provider Demographics
NPI:1235236563
Name:LIN, JENN-YIH (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENN-YIH
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC STREET
Mailing Address - Street 2:HSC B242 BOX 357136
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-7136
Mailing Address - Country:US
Mailing Address - Phone:206-543-4885
Mailing Address - Fax:206-616-7470
Practice Address - Street 1:1959 NE PACIFIC STREET
Practice Address - Street 2:HSC B242 BOX 357136
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-7136
Practice Address - Country:US
Practice Address - Phone:206-543-4885
Practice Address - Fax:206-616-7470
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000097331223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry