# ELLEN VYAS DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** REDMOND DENTISTS, REVIVE DENTAL REDMOND
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558219691
- **Authorized official:** DR. ELLEN VYAS DDS (OWNER)
- **Authorized official phone:** (425) 882-2444

## Contact information

- **Practice address:** 15955 NE 85TH, ST \#201, REDMOND, WA 98052
- **Practice address phone:** (425) 882-2444
- **Mailing address:** 15955 NE 85TH, ST \#201, REDMOND, WA 98052
- **Mailing address phone:** (425) 882-2444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2026
- **Last updated:** 03/16/2026