Organization · Type 2 NPI
Glacier Oral & Maxillofacial Surgery
Oral and Maxillofacial Surgery Clinic/Center · Lake Stevens, WA
Practice location
515 Hwy 9 Ste 102
Lake Stevens, WA 98258-8523
Mailing address
7718 19th Pl SE
Lake Stevens, WA 98258-3212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | None listed |
Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
About NPI 1083553630
Glacier Oral & Maxillofacial Surgery's National Provider Identifier is 1083553630, issued on Mar 27, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Lake Stevens, WA. The record was last updated on Mar 27, 2026.