Organization · Type 2 NPI

PSPD - Lake Stevens PLLC

Pediatric Dentistry · Lake Stevens, WA

NPI number 1154675064 Active

Practice location

9421 N. Davies Road #A
Lake Stevens, WA 98258

Fax (425) 609-4530

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	DE00009918 (WA)
Pediatric Dentistry	1223P0221X	None listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Other pediatric dentistry providers in Lake Stevens

Paul Lund DDS PLLCPediatric Dentistry Lake Stevens, WA NPI 1255735734

See all in Lake Stevens →

NPI record

NPI: 1154675064
Entity type: Organization (Type 2)
Issued: Oct 30, 2012
Last updated: Apr 11, 2022
Status: Active
Subpart: Yes of Lugo DMD Marysville PS

Other names

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Puget Sound Pediatric Dentistry · doing business as
Puget Sound Pediatric Dentistry · doing business as

Authorized official

Mrs. Jessica R Knight
Account Receivable Manager
(425) 367-4149

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About NPI 1154675064

PSPD - Lake Stevens PLLC's National Provider Identifier is 1154675064, issued on Oct 30, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lake Stevens, WA. The record was last updated on Apr 11, 2022.