Provider Demographics
NPI:1548831126
Name:DO, CHINH D (DDS)
Entity type:Individual
Prefix:
First Name:CHINH
Middle Name:D
Last Name:DO
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 1:33801 1ST WAY S STE 361
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6224
Mailing Address - Country:US
Mailing Address - Phone:206-412-3220
Mailing Address - Fax:
Practice Address - Street 1:33801 1ST WAY S STE 361
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6224
Practice Address - Country:US
Practice Address - Phone:253-838-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE61168612122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist