Provider Demographics
NPI:1235887555
Name:JAMES HU, DMD, PLLC
Entity Type:Organization
Organization Name:JAMES HU, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-226-1990
Mailing Address - Street 1:1002 PARK AVE N STE K
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-5632
Mailing Address - Country:US
Mailing Address - Phone:425-226-1990
Mailing Address - Fax:425-228-6806
Practice Address - Street 1:1002 PARK AVE N STE K
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-5632
Practice Address - Country:US
Practice Address - Phone:425-226-1990
Practice Address - Fax:425-228-6806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1285180513OtherNPPES
IL1801389390OtherNPPES