NPI 1265176432

Robert Ly

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Seattle, WA

Practice location

Address: 1959 NE Pacific Street Health Sciences Building B-241 B, Seattle, WA 98195-7573
Phone: (206) 543-5860
Mailing address: 402 N Euclid St, Santa Ana, CA 92703-2414

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DR61678626 (WA)

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Dentist

Dental Providers Taxonomy 122300000X Licence DDS110071 (CA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1265176432
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2022
Record last updated: 1 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.