Robert Ly, is a
Oral & Maxillofacial Surgery based in Seattle, Washington. Robert Ly is licensed to practice in Washington (license number DR61678626) and his current practice location is
1959 Ne Pacific Street Health Sciences Building B-241 B, Seattle, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 543-5860.
NPI number for Robert Ly is 1265176432 and his current mailing address is 402 N Euclid St, Santa Ana, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265176432.
Healthcare Provider's Profile
| Full Name | Robert Ly |
|---|
| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 1959 Ne Pacific Street Health Sciences Building B-241 B, Seattle, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265176432
- Provider Enumeration Date: 04/25/2022
- Last Update Date: 07/01/2025
Medical Identifiers
Medical identifiers for Robert Ly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265176432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DDS110071 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DR61678626 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Ly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Robert Ly,
402 N Euclid St,
Santa Ana, CA 92703-2414
Ph: () - | Robert Ly,
1959 Ne Pacific Street Health Sciences Building B-241 B,
Seattle, WA 98195-7573
Ph: (206) 543-5860 |
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