Provider Demographics
NPI:1972153922
Name:LINTAKOON & HANSEN DDS PLLC
Entity Type:Organization
Organization Name:LINTAKOON & HANSEN DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:HUNG
Authorized Official - Last Name:LINTAKOON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-680-5571
Mailing Address - Street 1:12330 NE 8TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3187
Mailing Address - Country:US
Mailing Address - Phone:512-680-5571
Mailing Address - Fax:
Practice Address - Street 1:8532 122ND AVE NE STE B-1
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-5831
Practice Address - Country:US
Practice Address - Phone:425-822-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental